West Jordan Modern Dentistry , LLP
NPI #1508134412 in West Jordan, Utah
Provider Information
- NPI Number
- 1508134412
- Entity Type
- Organization
- Organization Name
- West Jordan Modern Dentistry , LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 6, 2011
- Last Updated
- Apr 13, 2022
Practice Location
- Address
- 7632 CAMPUS VIEW DR STE 150
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-5630
- Phone
- (801) 282-4142
Authorized Official
- Name
- DR. CHRISTINE B. GOODELL, DDS
- Title
- OWNER
- Phone
- (801) 282-4142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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