Organization
STONEHAVEN DENTAL - SOUTH JORDAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE JAMES (CFO)
(502) 254-8504
Entity
Organization
Contact information
Practice address
3785 W 10400 S, SOUTH JORDAN, UT 84095
(801) 766-3600
Mailing address
PO BOX 437169, LOUISVILLE, KY 40253-7169
(502) 254-8501
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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