Individual
TODD STEVEN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2114 S HIGHLAND DR, SALT LAKE CITY, UT 84106-2807
(801) 467-2345
Mailing address
1765 N TOWN EAST BLVD STE 111, MESQUITE, TX 75150-4151
(972) 270-7210
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202233
CO
1223G0001X
General Practice Dentistry
33749
TX
1223G0001X
General Practice Dentistry
Primary
9236046-9922
UT
Other
Enumeration date
07/07/2014
Last updated
11/21/2019
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