Individual
DR. ERICK JORDAN LUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4651 W 13400 S STE 110, RIVERTON, UT 84096-6483
(801) 515-5858
(801) 515-5859
Mailing address
4651 W 13400 S STE 110, RIVERTON, UT 84096-6483
(801) 515-5858
(801) 515-5859
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
8345190-9922
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8345190
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083298525
—
UT
Enumeration date
04/18/2013
Last updated
01/11/2023
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