Individual
DR. JORDAN D DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
469 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8922
(801) 292-5812
Mailing address
469 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8922
(801) 292-5812
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8342541
UT
Other
Enumeration date
07/02/2011
Last updated
09/12/2012
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