| NPI | 1154862126 |
|---|---|
| Doing Business As | JORDAN LANDING SMILES |
| Entity Type | Organization |
| Authorized Contact | DAVID POWELL Dentist 801-280-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 344165) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |