Individual
SCOTT ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5685 S 1475 E STE 3A, SOUTH OGDEN, UT 84403-4598
(801) 479-9220
(801) 479-0837
Mailing address
5685 S 1475 E STE 3A, SOUTH OGDEN, UT 84403-4598
(801) 479-9220
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12782529
UT
Other
Enumeration date
09/11/2017
Last updated
09/12/2022
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