Organization
MARCKAREN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ADAM COLLMAN DDS (OWNER)
(801) 782-9544
Entity
Organization
Contact information
Practice address
2251 N 400 E, NORTH OGDEN, UT 84414-7210
(801) 782-9544
(801) 786-0557
Mailing address
PO BOX 13167, OGDEN, UT 84412-3167
(801) 782-9544
(801) 786-0557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
931439079922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528866301007
—
UT
Enumeration date
07/31/2013
Last updated
07/31/2013
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