Mcdonough Orthodontics | |
6070 S 1300 E Suite 202 Salt Lake City UT 84121-6722 | |
(801) 266-2662 | |
(801) 268-2009 |
Full Name | Mcdonough Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 6070 S 1300 E, Salt Lake City, Utah |
Authorized Official Name and Position | David Roy Mcdonough (OWNER) |
Authorized Official Contact | 8012662662 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mcdonough Orthodontics 6070 S 1300 E Suite 202 Salt Lake City UT 84121-6722 Ph: (801) 266-2662 | Mcdonough Orthodontics 6070 S 1300 E Suite 202 Salt Lake City UT 84121-6722 Ph: (801) 266-2662 |
NPI Number | 1740636570 |
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Provider Enumeration Date | 05/11/2016 |
Last Update Date | 05/11/2016 |
Identifier | Type | State | Issuer |
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1740636570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6740566-9922 (Utah) | Primary |
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