Individual
JOBY CHALUPARAMBIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11758 S DISTRICT DR, UNIT 702, SOUTH JORDAN, UT 84095-6041
(409) 939-9437
Mailing address
11758 S DISTRICT DR, UNIT 702, SOUTH JORDAN, UT 84095-6041
(409) 939-9437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10353283-9922
UT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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