| NPI | 1457243784 |
|---|---|
| Doing Business As | JORDAN RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES SPENCER GRUBER Dentist 801-718-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |