Out of This World Dentistry Wj PC
NPI #1336548841 in West Jordan, Utah
Provider Information
- NPI Number
- 1336548841
- Entity Type
- Organization
- Organization Name
- Out of This World Dentistry Wj PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OUT OF THIS WORLD DENTISTRY PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 20, 2014
- Last Updated
- Aug 20, 2014
Practice Location
- Address
- 6787 S REDWOOD RD
- Address 2
- SUITE #100
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-2404
- Phone
- (801) 542-7009
Authorized Official
- Name
- DANNIELLE STARK
- Title
- OFFICE MANAGER
- Phone
- (801) 898-7502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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