| Redwood Orthodontics | |
|
6287 S Redwood Rd Ste 202 Taylorsville UT 84123-6655 | |
| (801) 262-3777 | |
| Not Available |
| Full Name | Redwood Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6287 S Redwood Rd Ste 202, Taylorsville, Utah |
| Authorized Official Name and Position | Ebonie Gonzales (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5058503769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redwood Orthodontics 6287 S Redwood Rd Ste 202 Taylorsville UT 84123-6655 Ph: (801) 262-3777 | Redwood Orthodontics 6287 S Redwood Rd Ste 202 Taylorsville UT 84123-6655 Ph: (801) 262-3777 |
| NPI Number | 1437922465 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437922465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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