Individual
MICHAEL STEPHEN AFFLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2537 N 400E, NORTH OGDEN, UT 84414
(801) 782-5010
(801) 782-6158
Mailing address
2537 N 400E, NORTH OGDEN, UT 84414
(801) 782-5010
(801) 782-6158
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5671989 9921
UT
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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