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Organization

THOMAS ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES WYLIE THOMAS D.M.D. (ORTHODONTIST)
(801) 423-3030
Entity
Organization

Contact information

Practice address
424 STATE ROAD 198, SALEM, UT 84653-4605
(801) 423-3030
(801) 423-3034
Mailing address
424 STATE ROAD 198, SALEM, UT 84653-4605
(801) 423-3030
(801) 423-3034

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7445398-9921
UT

Other

Enumeration date
03/16/2010
Last updated
03/16/2010
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