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REDWOOD PERIODONTICS, LLC

Periodontics

Salt Lake City, Utah

Provider NPI: 1558487827

Organization Information:
Organization Name:  REDWOOD PERIODONTICS, LLC
Organization is not Subpart
Authorized Official:  JEREMY DWIGHT MANWARING  OWNER  801-2938833

Practice Location:
6287 S REDWOOD RD STE 102  SALT LAKE CITY, UT 84123 US
Tel: 801-293-8833  Fax: 801-293-8844

Business Mailing Address:
6287 S REDWOOD RD STE 102  SALT LAKE CITY, UT 84123 US
Tel: 801-293-8833  Fax: 801-293-8844

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
UT56827969922





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