Organization
JORDAN VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGHAM G COLTON DMD (OWNER/DENTIST)
(801) 282-2323
Entity
Organization
Contact information
Practice address
7613 S JORDAN LANDING BLVD STE 110, WEST JORDAN, UT 84084-1973
(801) 282-2323
(801) 282-3440
Mailing address
7613 S JORDAN LANDING BLVD, WEST JORDAN, UT 84084-1972
(801) 282-2323
(801) 282-3440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5926034
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528618929002 UT
—
UT
Enumeration date
06/07/2016
Last updated
06/07/2016
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