White Pine Endodontics PC
NPI #1457874059 in Providence, Utah
Provider Information
- NPI Number
- 1457874059
- Entity Type
- Organization
- Organization Name
- White Pine Endodontics PC
- Primary Specialty
- Dentist - Endodontics
- Enumeration Date
- Jul 25, 2017
- Last Updated
- Jul 25, 2017
Practice Location
- Address
- 169 N GATEWAY DR STE 200
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9516
- Phone
- (435) 760-4346
Authorized Official
- Name
- JORDAN HANSEN, DDS
- Title
- PRESIDENT
- Phone
- (435) 760-4346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Endodontics — Endodontics |
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