Organization
SOUTHERN UTAH SURGICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY S DRESHER (VP OF BILLING)
(405) 848-7974
Entity
Organization
Contact information
Practice address
393 E RIVERSIDE DR BLDG 2, SUITE 2B, ST GEORGE, UT 84790-7065
(435) 628-1100
(435) 673-0330
Mailing address
5600 N MAY AVE, SUITE 250, OKLAHOMA CITY, OK 73112-3973
(405) 848-7974
(405) 848-0033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6524467
UT
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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