Individual
JAMIE LEE UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
204 E 400 N, SALEM, UT 84653-9320
(435) 851-1193
Mailing address
573 S 950 E, SALEM, UT 84653-2043
(435) 851-1193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12406948-9923
UT
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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