| NPI | 1821478900 |
|---|---|
| Doing Business As | JORDAN FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KEVIN M BOWCUTT Dentist 435-730-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 28188) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |