| NPI | 1316442841 |
|---|---|
| Doing Business As | SOUTH JORDAN ORAL AND FACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DAYNE JENSEN President 801-698-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OK 183) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |