| Dentists Of South Jordan, Llp | |
|
11501 S 4000 W Ste 101 South Jordan UT 84009-6028 | |
| (801) 701-2120 | |
| Not Available |
| Full Name | Dentists Of South Jordan, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11501 S 4000 W Ste 101, South Jordan, Utah |
| Authorized Official Name and Position | Adam Burr (OWNER) |
| Authorized Official Contact | 8017012120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of South Jordan, Llp 17000 Red Hill Ave Irvine CA 92614-5626 Ph: () - | Dentists Of South Jordan, Llp 11501 S 4000 W Ste 101 South Jordan UT 84009-6028 Ph: (801) 701-2120 |
| NPI Number | 1700391828 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700391828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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