Individual
DR. MICHAEL G BOYACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3451 S 5600 W, WEST VALLEY CITY, UT 84120-1301
(801) 969-1400
(801) 969-1401
Mailing address
1834 S. STATE STREET, OREM, UT 84097
(801) 224-0222
(801) 226-7560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5114556
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5114556
UT
Other
Enumeration date
11/11/2008
Last updated
07/17/2013
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