Custom Orthodontics

NPI #1326580283 in West Point, Utah

Provider Information

NPI Number
1326580283
Entity Type
Organization
Organization Name
Custom Orthodontics
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Nov 9, 2016
Last Updated
Nov 9, 2016

Practice Location

Address
255 N 3000 W STE B
State
Utah
ZIP Code
84015-7493
Phone
(801) 825-2208

Authorized Official

Name
BRADY M THOMSON, DDS
Title
OWNER/ORTHODONTIST
Phone
(435) 752-1320

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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