| Monarch Dental - South Ogden | |
|
5974 S. Fashion Pointe Drive Suite 210 South Ogden UT 84403 | |
| (801) 475-6121 | |
| (801) 471-0919 |
| Full Name | Monarch Dental - South Ogden |
|---|---|
| Speciality | Dentist |
| Location | 5974 S. Fashion Pointe Drive, South Ogden, Utah |
| Authorized Official Name and Position | Liliana Martinez (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 4930897929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monarch Dental - South Ogden 8415 Datapoint Drive Suite 1020 San Antonio TX 78229 Ph: (714) 578-6358 | Monarch Dental - South Ogden 5974 S. Fashion Pointe Drive Suite 210 South Ogden UT 84403 Ph: (801) 475-6121 |
| NPI Number | 1265889166 |
|---|---|
| Provider Enumeration Date | 05/20/2016 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265889166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 141895-9921 (Utah) | Primary |
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