Organization
FAMILIES FIRST PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE GONZALES (CREDENTIALING)
(801) 254-9700
Entity
Organization
Contact information
Practice address
5459 W 7800 S STE 100, WEST JORDAN, UT 84081-6023
(505) 515-5858
Mailing address
PO BOX 95868, SOUTH JORDAN, UT 84095-0868
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
07/01/2025
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