Organization · Type 2 NPI
Stonehaven Dental - South Jordan, LLC
Dental Clinic/Center · South Jordan, UT
NPI number
1538570486
Active
Practice location
3785 W 10400 S
South Jordan, UT 84095
Mailing address
PO Box 437169
Louisville, KY 40253-7169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1538570486
Stonehaven Dental - South Jordan, LLC's National Provider Identifier is 1538570486, issued on May 14, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in South Jordan, UT. The record was last updated on May 14, 2014.