Individual
GREGORY WILLIAM EGBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1250 E 3900 S, STE 210, SALT LAKE CITY, UT 84124-1367
(801) 265-1500
(801) 265-9963
Mailing address
1250 E 3900 SO, STE 210, SALT LAKE CITY, UT 84124-1367
(801) 265-1500
(801) 265-9963
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
143512
UT
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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