West Jordan Modern Dentistry , Llp

NPI 1508134412 - Dentist - 1223G0001X

NPI Details
NPI 1508134412
Enumeration Date 12/06/2011
Last Updated 12/31/2013
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name ERIC J ERIC
Position OWNER
Phone (801) 282-4142
Fax (801) 282-4146
Practice Location
7632 CAMPUS VIEW DR STE 150
WEST JORDAN UT, 84084-5630, US
Phone (801) 282-4142
Fax (801) 282-4146
Business Location
17000 RED HILL AVE
IRVINE CA, 92614-5626, US
Phone (714) 845-8890
Fax (949) 474-1495
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, West Jordan Modern Dentistry , Llp NPI is 1508134412, taxonomy code is 1223G0001X West Jordan Modern Dentistry , Llp physically located at 7632 Campus View Dr Ste 150, West Jordan UT, 84084-5630. NPI Number 1033115704 has the healthcare provider type.

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1508134412 NPI number is provided on an as is basis without warranty of any kind. 1508134412 is maintained by the National Plan & Provider Enumeration System. The contents of West Jordan Modern Dentistry , Llp are for informational purposes only.