Organization
OUT OF THIS WORLD DENTISTRY SJ PC
Active
Parent organization
OUT OF THIS WORLD DENTISTRY PC
Other names
Out of This World SJ
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUT OF THIS WORLD DENTISTRY PC
Authorized official
CORY STARK DDS (OWNER)
(801) 260-0400
Entity
Organization
Contact information
Practice address
10426 S. 4000 W., SOUTH JORDAN, UT 84009
(801) 260-0400
(801) 619-5399
Mailing address
10426 S. 4000 W., SOUTH JORDAN, UT 84009
(801) 260-0400
(801) 619-5399
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
07/21/2022
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