Organization · Type 2 NPI

Clubhouse Pediatric Dentistry of West Jordan

Pediatric Dentistry · Midvale, UT

NPI number 1639654684 Active

Practice location

1108 E South Union Ave
Midvale, UT 84047-2904

Call (208) 520-1514 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

6 other providers at this address

About NPI 1639654684

Clubhouse Pediatric Dentistry of West Jordan's National Provider Identifier is 1639654684, issued on Sep 26, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Midvale, UT. The record was last updated on Sep 26, 2018.