Organization
MT. OGDEN DENTAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK COOK GEDDES D.M.D. (DENTIST)
(801) 394-4415
Entity
Organization
Contact information
Practice address
1220 33RD ST STE B, OGDEN, UT 84403-1381
(801) 394-4415
(801) 394-3212
Mailing address
1220 33RD ST STE B, OGDEN, UT 84403-1381
(801) 394-4415
(801) 394-3212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5145132-9922
UT
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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