Individual
DR. JOHN M POBANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1508 E SKYLINE DR, SUITE 200, OGDEN, UT 84405-4846
(801) 627-0500
(801) 394-8235
Mailing address
1508 E SKYLINE DR, SUITE 200, OGDEN, UT 84405-4846
(801) 627-0500
(801) 394-8235
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
324289-9921
UT
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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