ORAL SURGERY SPECIALTY

SOUTH JORDAN, UT
NPI1790089886
Entity TypeOrganization
Authorized ContactL. DOUGLAS ISRAELSEN
Owner
801-397-2727
Organization Subpart ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: UT  135181)
Enumeration Date2011-01-04
Last Update Date2011-11-22
Business Address
ORAL SURGERY SPECIALTY
3648 W 9800 S
SOUTH JORDAN, UT 84095-3260
Phone number: 801-397-2727
Mailing Address
ORAL SURGERY SPECIALTY
PO BOX 367
DRAPER, UT 84020-0367
Phone number: 801-397-2727