| Tooth Doctor - Wvc Pllc | |
|
3060 S Redwood Rd West Valley City UT 84119-3058 | |
| (801) 972-0555 | |
| Not Available |
| Full Name | Tooth Doctor - Wvc Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3060 S Redwood Rd, West Valley City, Utah |
| Authorized Official Name and Position | Devin J Orvin (PRESIDENT) |
| Authorized Official Contact | 8019897803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Doctor - Wvc Pllc 3060 S Redwood Rd West Valley City UT 84119-3058 Ph: (801) 972-0555 | Tooth Doctor - Wvc Pllc 3060 S Redwood Rd West Valley City UT 84119-3058 Ph: (801) 972-0555 |
| NPI Number | 1780198564 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780198564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 88136909922 (Utah) | Primary |
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