| Wasatch Orthodontics And Dentofacial Orthopedics | |
|
380 E 1500 S Suite 200 Heber City UT 84032-3940 | |
| (435) 654-4586 | |
| Not Available |
| Full Name | Wasatch Orthodontics And Dentofacial Orthopedics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 380 E 1500 S, Heber City, Utah |
| Authorized Official Name and Position | Jared Reed Brown (PRESIDENT) |
| Authorized Official Contact | 4356544586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Orthodontics And Dentofacial Orthopedics 380 E 1500 S Suite 200 Heber City UT 84032-3940 Ph: (435) 654-4586 | Wasatch Orthodontics And Dentofacial Orthopedics 380 E 1500 S Suite 200 Heber City UT 84032-3940 Ph: (435) 654-4586 |
| NPI Number | 1376812933 |
|---|---|
| Provider Enumeration Date | 12/27/2011 |
| Last Update Date | 12/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376812933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 61622839921 (Utah) | Primary |
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