| Tooth Co | |
|
4575 S 5600 W Ste B West Valley City UT 84120-4639 | |
| (801) 955-4400 | |
| (801) 955-4900 |
| Full Name | Tooth Co |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4575 S 5600 W Ste B, West Valley City, Utah |
| Authorized Official Name and Position | Brion Conway (MEMBER) |
| Authorized Official Contact | 8016473707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Co 4575 S 5600 W Ste B West Valley City UT 84120-4639 Ph: (801) 955-4400 | Tooth Co 4575 S 5600 W Ste B West Valley City UT 84120-4639 Ph: (801) 955-4400 |
| NPI Number | 1316512601 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316512601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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