Oquirrh Park Pediatric Dentistry
NPI #1134540032 in West Jordan, Utah
Provider Information
- NPI Number
- 1134540032
- Entity Type
- Organization
- Organization Name
- Oquirrh Park Pediatric Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 18, 2013
- Last Updated
- Dec 18, 2013
Practice Location
- Address
- 6973 S 4800 W
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-7927
- Phone
- (801) 840-4833
Authorized Official
- Name
- MARCI NICOL
- Title
- VP OF OPERATIONS
- Phone
- (801) 918-4135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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