Organization
HEBER CITY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DORROUGH DDS (OWNER)
(435) 252-0456
Entity
Organization
Contact information
Practice address
345 E GATEWAY DRIVE, SUITE 200, HEBER CITY, UT 84032
(435) 252-0456
Mailing address
345 E GATEWAY DRIVE, SUITE 200, HEBER CITY, UT 84032
(435) 252-0456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
UT
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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