Individual
JAY D REDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2301 SANTA CLARA DR, SANTA CLARA, UT 84765-5472
(435) 688-1577
(435) 688-1578
Mailing address
2301 SANTA CLARA DR, SANTA CLARA, UT 84765-5472
(435) 688-1577
(435) 688-1578
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6670191
UT
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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