Organization
POOLE ORTHODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS POOLE DDS (PRESIDENT)
(435) 753-0462
Entity
Organization
Contact information
Practice address
1340 N 600 E STE 2, LOGAN, UT 84341-2475
(435) 753-0462
Mailing address
1340 N 600 E STE 2, LOGAN, UT 84341-2475
(435) 753-0462
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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