| CD Orem LLC | |
|
1221 S 1840 W Orem UT 84058-5978 | |
| (801) 310-1916 | |
| Not Available |
| Full Name | CD Orem LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1221 S 1840 W, Orem, Utah |
| Authorized Official Name and Position | Robert Magness (MANAGER) |
| Authorized Official Contact | 8013101916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CD Orem LLC 1221 S 1840 W Orem UT 84058-5978 Ph: (801) 310-1916 | CD Orem LLC 1221 S 1840 W Orem UT 84058-5978 Ph: (801) 310-1916 |
| NPI Number | 1558714550 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558714550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4936951 (Utah) | Primary |
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