Individual
CHASE ROGER JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11760 S 700 E STE 110, DRAPER, UT 84020-6605
(801) 571-6688
Mailing address
4150 CLEMENT ST, #160, SAN FRANCISCO, CA 94121-1545
(415) 750-2046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10068298-9922
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
04/18/2019
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