Individual
JANA LEIGH CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3195 S MAIN ST STE 200, SALT LAKE CITY, UT 84115-3749
(801) 468-0342
Mailing address
5517 S 3775 W, ROY, UT 84067-9720
(801) 985-0610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6102878-9922
UT
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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