Organization
FOX PARK DENTAL
Active
Other names
Fox Park Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY MATTHEWS DMD (OWNER)
(801) 797-0145
Entity
Organization
Contact information
Practice address
9251 S REDWOOD RD, WEST JORDAN, UT 84088-5814
(801) 566-2155
Mailing address
1305 N COMMERCE DR STE 200, SARATOGA SPRINGS, UT 84045-5310
(801) 797-0145
(801) 768-0327
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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