Organization
EAST OGDEN PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
1220 33RD ST STE C, OGDEN, UT 84403-1380
(801) 394-4519
Mailing address
355 S 520 W STE 250, LINDON, UT 84042-1976
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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