Organization
COMFORT FAMILY DENTAL OF SOUTH OGDEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL A MACKLEY DDS (MANAGING DOCTOR)
(801) 782-6681
Entity
Organization
Contact information
Practice address
5685 S 1475 E, SUITE 2A, SOUTH OGDEN, UT 84403-4716
(801) 475-0509
(801) 475-0136
Mailing address
5685 S 1475 E, SUITE 2A, SOUTH OGDEN, UT 84403-4716
(801) 475-0509
(801) 475-0136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144024
UT
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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