Clubhouse Pediatric Dentistry of West Jordan
Clubhouse Pediatric Dentistry of West Jordan provides Pediatric Dentistry in Midvale, Utah. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1108 E South Union AveMidvale, UT 84047-2904
Phone: (208) 520-1514
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1639654684 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Capstone LLC |
| Authorized official | Jennifer Robison — Credentialing Coordinator · (208) 520-1514 |
| NPI enumerated | September 26, 2018 |
| Last updated in NPPES | September 26, 2018 |
| Mailing address | 1108 E South Union Ave, Midvale, UT 84047-2904 |
Other providers in Midvale
-
Albert L Evans, DDSPC
1275 E Fort Union Blvd #220, Midvale, UT 84047 · (801) 562-8700