Td Operations Llc | |
3060 S Redwood Rd Salt Lake City UT 84119-3058 | |
(810) 972-0555 | |
(801) 972-0920 |
Full Name | Td Operations Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 3060 S Redwood Rd, Salt Lake City, Utah |
Authorized Official Name and Position | Devin Jay Orvin (OWNER) |
Authorized Official Contact | 8019897803 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Td Operations Llc 1380 N 225 W Centerville UT 84014-3314 Ph: (801) 989-7803 | Td Operations Llc 3060 S Redwood Rd Salt Lake City UT 84119-3058 Ph: (810) 972-0555 |
NPI Number | 1760995526 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 03/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760995526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8813690-9922 (Utah) | Primary |
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