ORAL SURGERY SPECIALTY

Oral & Maxillofacial Surgery

Active Organization
NPI: 1790089886

Practice Address

3648 W 9800 S
South Jordan, UT 84095

Phone: (801) 397-2727

Specialties

Specialty Code Primary License
Oral & Maxillofacial Surgery 204E00000X Yes 135181 (UT)

Frequently Asked Questions

NPI 1790089886 is the National Provider Identifier for ORAL SURGERY SPECIALTY, a Oral & Maxillofacial Surgery provider located in South Jordan, UT. This NPI was enumerated on January 4, 2011.

Quick Facts

NPI
1790089886
Type
Organization
Enumerated
Jan 4, 2011
Last Updated
Nov 22, 2011

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