Organization
CD OREM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MAGNESS DDS (MANAGER)
(801) 310-1916
Entity
Organization
Contact information
Practice address
1221 S 1840 W, OREM, UT 84058-5978
(801) 310-1916
Mailing address
1221 S 1840 W, OREM, UT 84058-5978
(801) 310-1916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4936951
UT
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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