Organization
MALAN DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE M MALAN (OWNER)
(801) 394-3767
Entity
Organization
Contact information
Practice address
3860 JACKSON AVE, STE 5, OGDEN, UT 84403-1956
(801) 394-3767
Mailing address
3860 JACKSON AVE, STE 5, OGDEN, UT 84403-1956
(801) 394-3767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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