Genesis Orthodontics, LLC
NPI #1609372903 in West Valley City, Utah
Provider Information
- NPI Number
- 1609372903
- Entity Type
- Organization
- Organization Name
- Genesis Orthodontics, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 4, 2018
- Last Updated
- Mar 26, 2024
Practice Location
- Address
- 3725 W 4100 S STE 240
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-5530
- Phone
- (801) 969-9070
Authorized Official
- Name
- MR. JASON D CASTO
- Title
- MEMBER/OWNER
- Phone
- (801) 870-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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