Individual
DR. CHRISTINE BRYANNE GOODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7632 S CAMPUS VIEW DR STE 150, WEST JORDAN, UT 84084-5545
(801) 282-4142
Mailing address
7632 S CAMPUS VIEW DR STE 150, WEST JORDAN, UT 84084-5545
(801) 282-4142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00202266
CO
1223G0001X
General Practice Dentistry
Primary
10413484
UT
Other
Enumeration date
07/14/2014
Last updated
12/12/2017
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