| Oral Design Dental | |
|
4802 S Holladay Blvd Holladay UT 84117-5407 | |
| (801) 733-7035 | |
| (801) 733-7031 |
| Full Name | Oral Design Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4802 S Holladay Blvd, Holladay, Utah |
| Authorized Official Name and Position | Nick Oganov (OWNER) |
| Authorized Official Contact | 8017337035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Design Dental 4802 S Holladay Blvd Holladay UT 84117-5407 Ph: (801) 733-7035 | Oral Design Dental 4802 S Holladay Blvd Holladay UT 84117-5407 Ph: (801) 733-7035 |
| NPI Number | 1477917458 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 04/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477917458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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