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Organization

UTAH SURGICAL ARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL D HARRIS M.D., D.D.S. (ORAL/MAXILLOFACIAL SURGEON)
(801) 356-2226
Entity
Organization

Contact information

Practice address
3610 N UNIVERSITY AVE, SUITE 150, PROVO, UT 84604-4437
(801) 356-2226
(801) 812-1734
Mailing address
3610 N UNIVERSITY AVE, SUITE 150, PROVO, UT 84604-4437
(801) 356-2226
(801) 812-1734

Taxonomy

Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
39634
UT

Other

Enumeration date
10/15/2007
Last updated
10/23/2007
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