Organization
TOOTH CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRION CONWAY (MEMBER)
(801) 647-3707
Entity
Organization
Contact information
Practice address
4575 S 5600 W STE B, WEST VALLEY CITY, UT 84120-4639
(801) 955-4400
(801) 955-4900
Mailing address
4575 S 5600 W STE B, WEST VALLEY CITY, UT 84120-4639
(801) 955-4400
(801) 955-4900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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