| Oquirrh Park Pediatric Dentistry | |
|
6973 S 4800 W West Jordan UT 84084-7927 | |
| (801) 840-4833 | |
| Not Available |
| Full Name | Oquirrh Park Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6973 S 4800 W, West Jordan, Utah |
| Authorized Official Name and Position | Marci Nicol (VP OF OPERATIONS) |
| Authorized Official Contact | 8019184135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oquirrh Park Pediatric Dentistry 6973 S 4800 W West Jordan UT 84084-7927 Ph: (801) 840-4833 | Oquirrh Park Pediatric Dentistry 6973 S 4800 W West Jordan UT 84084-7927 Ph: (801) 840-4833 |
| NPI Number | 1134540032 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134540032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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