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2180 E Fort Union Blvd Cottonwood Heights UT 84121-3148 | |
| (801) 944-4141 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 2180 E Fort Union Blvd, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Devin J. Orvin (PRESIDENT) |
| Authorized Official Contact | 8019897803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2180 E Fort Union Blvd Cottonwood Heights UT 84121-3148 Ph: (801) 944-4141 | 2180 E Fort Union Blvd Cottonwood Heights UT 84121-3148 Ph: (801) 944-4141 |
| NPI Number | 1235643016 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235643016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8813690-9922 (Utah) | Primary |
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