Organization
DENTISTS OF SOUTH JORDAN, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM BURR (OWNER)
(801) 701-2120
Entity
Organization
Contact information
Practice address
11501 S 4000 W STE 101, SOUTH JORDAN, UT 84009-6028
(801) 701-2120
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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