Provider First Line Business Practice Location Address:
10920 S RIVER FRONT PARKWAY
Provider Second Line Business Practice Location Address:
COLLEGE OF DENTAL MEDICINE ROSEMAN UNIVERSITY OF HEALTH
Provider Business Practice Location Address City Name:
SOUTH JORDAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84095
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
840-878-1482
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2013