Organization
IHC HEALTH SERVICES INC
Active
Other names
McKay Dee Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRIESACHER MD (SVP-CHIEF PHY EXECUTIVE)
(801) 442-3495
Entity
Organization
Contact information
Practice address
4403 HARRISON BLVD STE 3875, OGDEN, UT 84403-3332
(801) 387-7880
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-7880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
01/07/2021
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