Organization
C. JACKSON ALLAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG JACKSON ALLAN DDS (DENTIST/PRESIDENT)
(801) 565-7455
Entity
Organization
Contact information
Practice address
2414 W 7800 S, WEST JORDAN, UT 84088-4292
(801) 565-7455
(801) 569-1922
Mailing address
2414 W 7800 S, WEST JORDAN, UT 84088-4292
(801) 565-7455
(801) 569-1922
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5149430
UT
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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