Pleasant Valley Cosmetic & Laser Dental PLLC
Clinic/Center, Dental in Ogden, UT. Organization (NPI-2).
NPI number1992275945
StatusActive
Last updated in NPPESDec 3, 2018
Details
- NPI
- 1992275945
- Entity type
- Organization (NPI-2)
- Legal business name
- Pleasant Valley Cosmetic & Laser Dental PLLC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2018
- Last updated
- Dec 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
5742 Adams Ave PkwyOgden, UT 84405-7157
Phone 801-621-3383
Mailing address
5742 Adams Ave PkwyOgden, UT 84405-7157
Authorized official
Kevin Zaugg
Mbr
8013890647
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