Organization
JXC LLC
Active
Other names
Dana Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
BRION CONWAY (MANAGING MEMBER)
(801) 955-4400
Entity
Organization
Contact information
Practice address
4575 S 5600 W, WEST VALLEY CITY, UT 84120-4639
(801) 955-4400
(801) 955-4900
Mailing address
4575 S 5600 W, WEST VALLEY CITY, UT 84120-4639
(801) 955-4400
(801) 955-4900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6994989
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7992771
UT
Other
Enumeration date
07/06/2007
Last updated
05/20/2021
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