Organization
WEST JORDAN MODERN DENTISTRY , LLP
Active
Other names
West Jordan Modern Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE B. GOODELL DDS (OWNER)
(801) 282-4142
Entity
Organization
Contact information
Practice address
7632 CAMPUS VIEW DR STE 150, WEST JORDAN, UT 84084-5630
(801) 282-4142
(801) 282-4146
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
04/13/2022
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