Individual
DR. JUSTIN THOMAS PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
40 SOUTH 200 WEST, SALEM, UT 84653
(801) 423-1345
Mailing address
400 E 1600 S, MAPLETON, UT 84664
(801) 489-3332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63887579922
UT
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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