Ut Oms Specialty Dental Services Pllc

NPI #1194582031 in West Jordan, Utah

Provider Information

NPI Number: 1194582031
Entity Type: Organization
Organization Name: Ut Oms Specialty Dental Services Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: UT OMS SPECIALTY DENTAL SERVICES PLLC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Mar 5, 2024
Last Updated: Mar 5, 2024

Practice Location

Address: 8822 S REDWOOD RD # 201
City: West Jordan
State: Utah
ZIP Code: 84088-9336
Phone: (801) 727-8905

Authorized Official

Name: CHARLOTTE E VIAL
Title: DIRECTOR OF CRED AND PR
Phone: (504) 638-0303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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