Southwest Oral and Facial Surgery INC

NPI #1821400532 in South Jordan, Utah

Provider Information

NPI Number
1821400532
Entity Type
Organization
Organization Name
Southwest Oral and Facial Surgery INC
Primary Specialty
Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date
May 29, 2014
Last Updated
May 29, 2014

Practice Location

Address
11748 S 3600 W
Address 2
SUITE 1
State
Utah
ZIP Code
84095-5922
Phone
(801) 938-3412

Authorized Official

Name
MR. JARED MATHEW BROWN, D.D.S, M.D
Title
OWNER/SURGEON
Phone
(801) 938-3412

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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