Organization
HD OREM 1 LLC
Active
Other names
Magness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN TANNER (OFFICE MANAGER)
(385) 284-0207
Entity
Organization
Contact information
Practice address
370 E 800 S STE B, OREM, UT 84097-6386
(385) 284-0207
Mailing address
370 E 800 S STE B, OREM, UT 84097-6386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/23/2024
Last updated
09/30/2024
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