Individual
JACOB ROY ROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1260 N 200 E, LOGAN, UT 84341-7560
(435) 752-8000
Mailing address
1260 N 200 E STE 9, LOGAN, UT 84341-2382
(435) 752-8000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11847736-8903
UT
Other
Enumeration date
03/26/2020
Last updated
08/08/2022
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