Pony Express Dental of Draper, LLC

NPI #1306380084 in Draper, Utah

Provider Information

NPI Number
1306380084
Entity Type
Organization
Organization Name
Pony Express Dental of Draper, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 14, 2016
Last Updated
Dec 14, 2016

Practice Location

Address
219 E 12300 S
Address 2
SUITE I-5
City
Draper
State
Utah
ZIP Code
84020-6970
Phone
(801) 495-4440

Authorized Official

Name
DR. MICHAEL S TORNOW, D.M.D.
Title
DENTIST OWNER
Phone
(505) 947-4253

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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