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General NPI Number Information
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NPI Number | 1023952686
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Entity Type | Organization
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Legal Business Name | MVDC OGDEN LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3915 OGDEN AVE
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City | OGDEN
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State | UT
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Zip | 84403-1823
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Country | US
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Telephone | 801-392-1000
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Fax | 801-923-6218
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Provider Business Mailing Address
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Address Line | 3915 OGDEN AVE
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City | OGDEN
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State | UT
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Zip | 84403-1823
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Country | US
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Telephone | 801-392-1000
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Fax | 801-923-6218
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYL CUNDICK
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Credential |
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Telephone | 801-668-5336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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