Individual
DR. JORGE SAMUEL QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3725 W 4100 S STE 240, WEST VALLEY CITY, UT 84120-5434
(801) 965-2700
Mailing address
6087 S REDWOOD RD STE C, TAYLORSVILLE, UT 84123-6854
(801) 352-1300
(801) 285-9170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11055196
UT
Other
Enumeration date
03/26/2019
Last updated
08/14/2019
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