Quiroz, Jorge Samuel

Quiroz, Jorge Samuel is an individual health care provider with primary practice located at 3725 W 4100 S Ste 240 , West Valley City UT 84120-5434. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Quiroz, Jorge Samuel can be contacted via phone (801) 965-2700.

Contact Information

Primary practice address
3725 W 4100 S Ste 240 West Valley City UT 84120-5434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11055196 Utah

Profile Details

NPI number 1053872705
LBN Legal business name Quiroz, Jorge Samuel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2019
Last updated Aug 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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