West Jordan Smile Center

NPI #1912396060 in West Jordan, Utah

Provider Information

NPI Number: 1912396060
Entity Type: Organization
Organization Name: West Jordan Smile Center
Subpart: Yes (part of a larger organization)
Parent Organization: SMILE CENTER PARTNERS
Primary Specialty: Dentist
Enumeration Date: Jan 13, 2015
Last Updated: Jan 13, 2015

Practice Location

Address: 9251 S REDWOOD RD
City: West Jordan
State: Utah
ZIP Code: 84088-5814
Phone: (801) 260-2847

Authorized Official

Name: MRS. KRISTIE KAPP, RDH
Title: CEO
Phone: (801) 318-4572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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