Organization
THE TOOTH DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY E DILLMAN D.D.S.,P.C. (OWNER)
(801) 944-4141
Entity
Organization
Contact information
Practice address
2180 E FORT UNION BLVD., SALT LAKE CITY, UT 84121
(801) 944-4141
(801) 944-6377
Mailing address
2180 E FORT UNION BLVD., SALT LAKE CITY, UT 84121
(801) 944-4141
(801) 944-6377
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
1395529922
UT
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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