Organization
RAB DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALLEN BUCK DMD (OWNER)
(385) 333-9425
Entity
Organization
Contact information
Practice address
3590 HARRISON BLVD STE 1, OGDEN, UT 84403-2023
(801) 394-6651
Mailing address
4928 W 5300 S, HOOPER, UT 84315-6740
(385) 333-9425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/26/2022
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