Jeremy B Mahoney Dmd LLC
NPI #1770152985 in West Jordan, Utah
Provider Information
- NPI Number
- 1770152985
- Entity Type
- Organization
- Organization Name
- Jeremy B Mahoney Dmd LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 22, 2021
- Last Updated
- Jun 22, 2021
Practice Location
- Address
- 8846 S REDWOOD RD STE N201
- City
- West Jordan
- State
- Utah
- ZIP Code
- 84088-4702
- Phone
- (801) 566-0631
Authorized Official
- Name
- APRIL N PETERSEN
- Title
- PRACTICE MANAGER
- Phone
- (801) 566-0631
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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