| NPI | 1235643016 |
|---|---|
| Doing Business As | THE TOOTH DOCTOR |
| Entity Type | Organization |
| Authorized Contact | DEVIN J. ORVIN President 801-989-7803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 8813690-9922) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |