Individual
DR. MICHAEL C TEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3855 W 7800 S, #200, WEST JORDAN, UT 84088-4314
(801) 282-1802
(801) 282-6244
Mailing address
3855 W 7800 S, #200, WEST JORDAN, UT 84088-4314
(801) 282-1802
(801) 282-6244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5352062
UT
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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