Organization
FELLER ORTHODONTICS A PROFESSIONAL ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARLEY JACK FELLER DDS (OWNER AND ORTHODONTIST)
(801) 466-0040
Entity
Organization
Contact information
Practice address
2505 E 3300 S, SALT LAKE CITY, UT 84109-2737
(801) 466-0040
Mailing address
2505 E 3300 S, SALT LAKE CITY, UT 84109-2737
(801) 466-0040
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
138264-9921
UT
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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