SOUTHRIDGE PEDIATRIC DENTISTRY

SOUTH JORDAN, UT
NPI1225249683
Entity TypeOrganization
Authorized ContactDAVID C ROTH
Owner
801-446-1515
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  343291)
Additional Taxonomies122300000X Dentist
(Licence: UT  5667938)
Enumeration Date2007-05-25
Last Update Date2020-08-22
Business Address
SOUTHRIDGE PEDIATRIC DENTISTRY
2651 W. 10400 S. #103
SOUTH JORDAN, UT 84095
Phone number: 801-445-1515
Mailing Address
SOUTHRIDGE PEDIATRIC DENTISTRY
2651 W. 10400 S. #103
SOUTH JORDAN, UT 84095
Phone number: 801-445-1515