Individual
DR. DERALD WILFORD GEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1220 33RD ST, SUITE D, OGDEN, UT 84403-1378
(801) 394-5554
Mailing address
1220 33RD ST, SUITE D, OGDEN, UT 84403-1378
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144437
UT
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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