Tooth Doctor - Ch, LLC

NPI #1235643016 in Cottonwood Heights, Utah

Provider Information

NPI Number: 1235643016
Entity Type: Organization
Organization Name: Tooth Doctor - Ch, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TD OPERATIONS LLC
Primary Specialty: Dentist
Enumeration Date: Nov 30, 2017
Last Updated: Nov 30, 2017

Practice Location

Address: 2180 E FORT UNION BLVD
City: Cottonwood Heights
State: Utah
ZIP Code: 84121-3148
Phone: (801) 944-4141

Authorized Official

Name: DR. DEVIN J. ORVIN, DDS
Title: PRESIDENT
Phone: (801) 989-7803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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