Ut Bcdo Specialty Dental Services, Pllc
NPI #1669065470 in West Jordan, Utah
Provider Information
- NPI Number
- 1669065470
- Entity Type
- Organization
- Organization Name
- Ut Bcdo Specialty Dental Services, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 12, 2021
- Last Updated
- Feb 12, 2021
Practice Location
- Address
- 6973 S 4800 W STE C
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84084-7927
- Phone
- (801) 840-4833
Authorized Official
- Name
- CHARLOTTE DASCH
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (504) 638-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Oral and Maxillofacial Pathology — Oral and Maxillofacial Pathology |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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