Organization
REDWOOD ORTHODONTICS
Active
Other names
Families First Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE GONZALES (CREDENTIALING SPECIALIST)
(505) 850-3769
Entity
Organization
Contact information
Practice address
6287 S REDWOOD RD STE 202, TAYLORSVILLE, UT 84123-6655
(801) 262-3777
Mailing address
6287 S REDWOOD RD STE 202, TAYLORSVILLE, UT 84123-6655
(801) 262-3777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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