Individual
DR. LUIS JOHN DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2507 MADISON AVE, OGDEN, UT 84401-2500
(801) 394-9428
(801) 394-9420
Mailing address
2014 W 4600 S, ROY, UT 84067-3320
(801) 732-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3597429922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
985377
UNITED CONCORDIA INSURANC
UT
Enumeration date
04/17/2007
Last updated
07/08/2007
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