JORDAN CODY BOSEMAN

SALT LAKE CITY, UT
NPI1871977322
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  9418741-9922)
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
Dr. JORDAN CODY BOSEMAN DDS
4190 S HIGHLAND DR
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840
Mailing Address
Dr. JORDAN CODY BOSEMAN DDS
4190 S HIGHLAND DR
SALT LAKE CITY, UT 84124-2600
Phone number: 801-278-0840