| West Jordan Smile Center | |
|
9251 S Redwood Rd West Jordan UT 84088-5814 | |
| (801) 260-2847 | |
| Not Available |
| Full Name | West Jordan Smile Center |
|---|---|
| Speciality | Dentist |
| Location | 9251 S Redwood Rd, West Jordan, Utah |
| Authorized Official Name and Position | Kristie Kapp (CEO) |
| Authorized Official Contact | 8013184572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Jordan Smile Center 9251 S Redwood Road West Jordan UT 84008 Ph: (801) 260-2847 | West Jordan Smile Center 9251 S Redwood Rd West Jordan UT 84088-5814 Ph: (801) 260-2847 |
| NPI Number | 1912396060 |
|---|---|
| Provider Enumeration Date | 01/13/2015 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912396060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 142531 (Utah) | Primary |
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