| Oragen In-house Surgery Llc | |
|
11996 S Anthem Park Blvd # 100 Herriman UT 84096-5643 | |
| (801) 448-0366 | |
| Not Available |
| Full Name | Oragen In-house Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11996 S Anthem Park Blvd # 100, Herriman, Utah |
| Authorized Official Name and Position | Whitney Pavick (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8028577947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oragen In-house Surgery Llc Po Box 285 Centerville UT 84014-0285 Ph: (801) 448-0366 | Oragen In-house Surgery Llc 11996 S Anthem Park Blvd # 100 Herriman UT 84096-5643 Ph: (801) 448-0366 |
| NPI Number | 1831941095 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 04/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831941095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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