ORAL SURGERY SPECIALTY
Medical Practice at 9800, Riverton, UT

License number
Utah 135181
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DR. L. DOUGLAS ISRAELSEN DDS
Title: OWNER
Phone: (801) 397-2727
Address
Address 2
3648 W 9800 S, Riverton, UT 84095
PO Box 367, Draper, UT 84020
National Provider ID: 1790089886
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Oral Surgery Specialty

3648 W 9800 S, Riverton, UT 84095

Industry:
Medical Doctor's Office

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