Individual
JUSTIN COURAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3672 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84009-7171
(801) 878-1700
Mailing address
3672 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84009-7171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9836848-9922
UT
Other
Enumeration date
07/07/2016
Last updated
08/04/2016
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