| West Jordan Modern Dentistry , Llp | |
|
7632 Campus View Dr Ste 150 West Jordan UT 84084-5630 | |
| (801) 282-4142 | |
| (801) 282-4146 |
| Full Name | West Jordan Modern Dentistry , Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7632 Campus View Dr Ste 150, West Jordan, Utah |
| Authorized Official Name and Position | Christine B. Goodell (OWNER) |
| Authorized Official Contact | 8012824142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jordan Modern Dentistry , Llp Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | West Jordan Modern Dentistry , Llp 7632 Campus View Dr Ste 150 West Jordan UT 84084-5630 Ph: (801) 282-4142 |
| NPI Number | 1508134412 |
|---|---|
| Provider Enumeration Date | 12/06/2011 |
| Last Update Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508134412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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