Organization
COUSER ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARISON DAN COUSER DDS, MS (OWNER)
(801) 544-9191
Entity
Organization
Contact information
Practice address
250 W 200 N STE 2, KAYSVILLE, UT 84037-6701
(801) 544-9191
(801) 719-6241
Mailing address
250 W 200 N STE 2, KAYSVILLE, UT 84037-6701
(801) 544-9191
(801) 719-6241
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6698874
UT
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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