Mountain Sky Dental Llc | |
5640 South Wasatch Dr Ste A So. Ogden UT 84403 | |
(385) 244-1530 | |
(385) 244-1530 |
Full Name | Mountain Sky Dental Llc |
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Speciality | Dentist |
Location | 5640 South Wasatch Dr Ste A, So. Ogden, Utah |
Authorized Official Name and Position | Randall J Kelley (OWNER) |
Authorized Official Contact | 3852441530 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Sky Dental Llc 5640 South Wasatch Dr Ste A So. Ogden UT 84403 Ph: (385) 244-1530 | Mountain Sky Dental Llc 5640 South Wasatch Dr Ste A So. Ogden UT 84403 Ph: (385) 244-1530 |
NPI Number | 1720655194 |
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Provider Enumeration Date | 06/05/2021 |
Last Update Date | 06/05/2021 |
Identifier | Type | State | Issuer |
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1720655194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | (* (Not Available)) | Primary |