Organization
VIP TOOTH CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIVE C INGRAM (DDS)
(801) 776-3000
Entity
Organization
Contact information
Practice address
780 S 2000 W, STE F1, SYRACUSE, UT 84075-9602
(801) 776-3000
(801) 825-7700
Mailing address
780 S 2000 W, STE F1, SYRACUSE, UT 84075-9602
(801) 776-3000
(801) 825-7700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
UT
Other
Enumeration date
01/18/2007
Last updated
07/21/2022
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