Grove Creek Dental
NPI #1528566494 in Pleasant Grove, Utah
Provider Information
- NPI Number
- 1528566494
- Entity Type
- Organization
- Organization Name
- Grove Creek Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 238 E STATE RD STE 2
- City
- Pleasant Grove
- State
- Utah
- ZIP Code
- 84062-3621
- Phone
- (801) 796-7779
Authorized Official
- Name
- DR. JONATHAN D JACKSON, DDS
- Title
- DENTIST
- Phone
- (801) 796-7779
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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