Individual
DR. TODD DALE MAGLEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1151 ROSEWOOD LN, LAYTON, UT 84041-4413
(801) 593-0509
(801) 546-4118
Mailing address
1151 ROSEWOOD LN, LAYTON, UT 84041-4413
(801) 593-0509
(801) 546-4118
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
963245779922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
963245779922
LICENSE
UT
Enumeration date
08/31/2006
Last updated
07/08/2007
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