| NPI | 1093138448 |
|---|---|
| Doing Business As | SOUTH JORDAN DENTAL |
| Entity Type | Organization |
| Authorized Contact | MARCUS H WEBB Owner/Business Director 801-915-5947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 139125) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |