Organization · Type 2 NPI
Genesis Orthodontics, LLC
Dental Clinic/Center · West Valley City, UT
NPI number
1609372903
Active
Practice location
3725 W 4100 S Ste 240
West Valley City, UT 84120-5530
Mailing address
12180 S 300 E Unit 270
Draper, UT 84020-2612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 144139 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1609372903
Genesis Orthodontics, LLC's National Provider Identifier is 1609372903, issued on Apr 4, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in West Valley City, UT. The record was last updated on Mar 26, 2024.