Organization
FARR WEST ORTHODONTICS
Active
Organization
FARR WEST ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAY RICHARDS D.D.S., M.S. (OWNEER)
(801) 731-4850
Entity
Organization
Contact information
Practice address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-4850
Mailing address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-4850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8718587-9921
UT
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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