Organization
TOOTH DOCTOR - WVC PLLC
Active
Parent organization
TD OPERATIONS LLC
Other names
The Tooth Doctor
Organization subpart
Yes
Provider details
NPI number
Legal business name
TD OPERATIONS LLC
Authorized official
DR. DEVIN J ORVIN DDS (PRESIDENT)
(801) 989-7803
Entity
Organization
Contact information
Practice address
3060 S REDWOOD RD, WEST VALLEY CITY, UT 84119-3058
(801) 972-0555
Mailing address
3060 S REDWOOD RD, WEST VALLEY CITY, UT 84119-3058
(801) 972-0555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
88136909922
UT
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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