Individual
DR. DOUGLAS COLLIN OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
308 N 200 W, 75-4, ROOSEVELT, UT 84066-2324
(435) 725-1200
Mailing address
185 W 200 N, ROOSEVELT, UT 84066-2834
(435) 352-1155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
277019-9922
UT
Other
Enumeration date
09/23/2006
Last updated
10/25/2022
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