Organization
HORSLEY ORTHODONTICS
Active
Organization
HORSLEY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE ROBINSON (TREATMENT/FINANCIAL COORDINATOR)
(801) 254-6900
Entity
Organization
Contact information
Practice address
3632 W. SOUTH JORDAN PARKWAY, #201, SOUTH JORDAN, UT 84095
(801) 254-6900
Mailing address
3632 W. SOUTH JORDAN PARKWAY, #201, SOUTH JORDAN, UT 84095
(801) 254-6900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5666702-9921
UT
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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