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Organization

ALPINE VALLEY DENTISTRY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RALPH WAYNE OGILVIE DMD FAGD (PRESIDENT)
(435) 654-4004
Entity
Organization

Contact information

Practice address
425 E 1200 S, HEBER CITY, UT 84032-3943
(435) 654-4004
Mailing address
PO BOX 310, HEBER CITY, UT 84032-0310
(435) 654-4004

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2614269922
UT

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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