Individual
JOHN ROBERT STARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3590 HARRISON BLVD, #6, OGDEN, UT 84403-2060
(801) 621-3553
(801) 392-6548
Mailing address
3590 HARRISON BLVD, #6, OGDEN, UT 84403-2060
(801) 621-3553
(801) 392-6548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1404609922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528784676002
—
UT
Enumeration date
05/09/2007
Last updated
07/08/2007
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