Individual
ALLEN JON DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
601 N UT-198, SALEM, UT 84653
(801) 423-7969
Mailing address
601 N UT-198, SALEM, UT 84653
(801) 423-7969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
94297668-9921
UT
Other
Enumeration date
07/21/2015
Last updated
03/23/2023
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