Individual
SCOTT DIETER URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD,MD
Contact information
Practice address
7532 S CENTER VIEW CT STE 102, SUITE 102, WEST JORDAN, UT 84084-5547
(801) 282-5363
(801) 282-5360
Mailing address
7532 S CENTER VIEW CT STE 102, SUITE 102, WEST JORDAN, UT 84084-5547
(801) 282-5363
(801) 282-5360
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5315516-9924
UT
Other
Enumeration date
07/08/2005
Last updated
03/14/2018
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