Organization
ITOOTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANDON BRET ROCKWELL DDS (OWNER/DOCTOR)
(435) 882-8800
Entity
Organization
Contact information
Practice address
181 W VINE ST STE B, TOOELE, UT 84074-2084
(435) 882-8800
Mailing address
181 W VINE ST STE B, TOOELE, UT 84074-2084
(435) 882-8800
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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