INTERMOUNTAIN ORAL & MAXILLOFACIAL SURGERY
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1760745251- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6287 S REDWOOD RD #103, TAYLORSVILLE, UT, 841236634
- Phone
- (801) 261-2444
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: UT #LIC-4-12-7785