Organization · Type 2 NPI
Patricia Smyth D.d.s.,l.c.
Dental Clinic/Center · Ogden, UT
NPI number
1104041565
Active
Practice location
5300 S. Adams Ave. Pkwy., Suite 1
Ogden, UT 84405-6955
Fax (801) 479-4926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 267450 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1104041565
Patricia Smyth D.d.s.,l.c.'s National Provider Identifier is 1104041565, issued on Apr 13, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ogden, UT. The record was last updated on Aug 22, 2020.