| NPI | 1508134412 |
|---|---|
| Doing Business As | WEST JORDAN MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE B. GOODELL Owner 801-282-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2022-04-13 |