Individual
DR. MATTHEW WENDALL MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3860 JACKSON AVE, SUITE 4, OGDEN, UT 84403-1956
(801) 627-0410
(801) 627-0419
Mailing address
3860 JACKSON AVE, SUITE 4, OGDEN, UT 84403-1956
(801) 627-0410
(801) 627-0419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53349169922
UT
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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