Ismile At Slc

NPI 1154744399 - Dentist - 122300000X

NPI Details
NPI 1154744399
Enumeration Date 01/23/2014
Last Updated 01/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JASON G JASON
Position MEMBER/OWNER
Phone (801) 544-3953
Fax (801) 660-1312
Practice Location
302 N MAIN ST
KAYSVILLE UT, 84037-6766, US
Phone (801) 544-3953
Fax (801) 660-1312
Business Location
928 E 100 S
SUITE E
SALT LAKE CITY UT, 84102-1455, US
Phone (801) 355-5657
Fax (801) 660-1312
Toxanomy
Taxonomy Code 122300000X
License State Utah
License Number 5310263
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According to our database, Ismile At Slc NPI is 1154744399, taxonomy code is 122300000X and license number is 5310263, license state is located at Utah. Ismile At Slc physically located at 302 N Main St, Kaysville UT, 84037-6766. NPI Number 1033115704 has the healthcare provider type.

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1154744399 NPI number is provided on an as is basis without warranty of any kind. 1154744399 is maintained by the National Plan & Provider Enumeration System. The contents of Ismile At Slc are for informational purposes only.