Organization
JUSTIN J. WOODWARD D.D.S., P.C
Active
Other names
Alta Ridge Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN J WOODWARD D.D.S.,P.C. (OWNER)
(801) 553-3562
Entity
Organization
Contact information
Practice address
9829 S 1300 E STE 102, SANDY, UT 84094-4065
(801) 553-3562
(801) 553-3564
Mailing address
9829 S 1300 E STE 102, SANDY, UT 84094-4065
(801) 553-3562
(801) 553-3564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47420579922
UT
Other
Enumeration date
01/17/2007
Last updated
06/16/2008
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