Organization
ORAL & FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK L NEWEY DDS (OWNER)
(801) 825-1116
Entity
Organization
Contact information
Practice address
938 UNIVERSITY PARK BLVD, STE 100, CLEARFIELD, UT 84015-6283
(801) 825-1116
(801) 825-1310
Mailing address
938 UNIVERSITY PARK BLVD, STE 100, CLEARFIELD, UT 84015-6283
(801) 825-1116
(801) 825-1310
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
280752
UT
Other
Enumeration date
02/11/2016
Last updated
02/17/2016
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