Organization
ORTHODONTIC PAYMENT SERVICES, LLC
Active
Other names
Utah Orthodontic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN T RANDLE (OWNER)
(801) 999-4431
Entity
Organization
Contact information
Practice address
1231 W 9000 S #D, WEST JORDAN, UT 84088
(801) 999-4431
Mailing address
1231 W 9000 S #D, WEST JORDAN, UT 84088
(801) 999-4431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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