Organization
ORAL DESIGN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK OGANOV (OWNER)
(801) 733-7035
Entity
Organization
Contact information
Practice address
4802 S HOLLADAY BLVD, HOLLADAY, UT 84117-5407
(801) 733-7035
(801) 733-7031
Mailing address
4802 S HOLLADAY BLVD, HOLLADAY, UT 84117-5407
(801) 733-7035
(801) 733-7031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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