Organization
SMILEWIDE DENTAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY JONATHAN THORNELL D.M.D. (DOCTOR)
(801) 446-6889
Entity
Organization
Contact information
Practice address
5629 W. 13100 S., HERRIMAN, UT 84096
(801) 446-6889
(801) 446-6881
Mailing address
5629 W. 13100 S., HERRIMAN, UT 84096
(801) 446-6889
(801) 446-6881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53235209922
UT
Other
Enumeration date
08/16/2006
Last updated
05/04/2016
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