Organization
WEST JORDAN SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISITE KAPP (OWNER)
(801) 318-4572
Entity
Organization
Contact information
Practice address
9251 S REDWOOD RD, WEST JORDAN, UT 84088-5814
(801) 566-2155
Mailing address
9251 S REDWOOD RD, WEST JORDAN, UT 84088-5814
(801) 566-2155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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