Organization · Type 2 NPI
Jordan Ridge Pediatric Dentistry
Dental Clinic/Center · Murray, UT
NPI number
1669928909
Active
Practice location
678 E. Vine Street, Suite #10
Murray, UT 84107
Mailing address
678 E Vine St, Suite #10
Murray, UT 84107-5546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1669928909
Jordan Ridge Pediatric Dentistry's National Provider Identifier is 1669928909, issued on Aug 28, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Murray, UT. The record was last updated on Aug 28, 2016.