Individual
DR. JASON DAVID ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1176 S 1480 W, OREM, UT 84058-4905
(801) 426-0774
(801) 224-5437
Mailing address
1176 S 1480 W, OREM, UT 84058-4905
(801) 426-0774
(801) 224-5437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6250598
UT
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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