Individual
MICHAEL S TORNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4342 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5773
(505) 947-4253
(385) 449-9948
Mailing address
4342 E PONY EXPRESS PKWY, EAGLE MOUNTAIN, UT 84005-5773
(505) 947-4253
(385) 449-9948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50156499924
UT
1223G0001X
General Practice Dentistry
DD2287
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201438729
TAX ID
NM
Enumeration date
10/12/2005
Last updated
07/05/2023
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