Organization
A-1 DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KODY MUND (PRESIDENT)
(801) 621-2116
Entity
Organization
Contact information
Practice address
3785 HARRISON BLVD, SUITE 1, OGDEN, UT 84403-2071
(801) 621-2116
(801) 621-5513
Mailing address
3785 HARRISON BLVD, SUITE 1, OGDEN, UT 84403-2071
(801) 621-2116
(801) 621-5513
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6826055
UT
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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