Individual
JEREMY WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
496 N 990 W, SUITE G, AMERICAN FORK, UT 84003-2760
(801) 763-7977
Mailing address
496 N 990 W, SUITE G, AMERICAN FORK, UT 84003-2760
(801) 763-7977
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5713374-9922
UT
Other
Enumeration date
12/13/2006
Last updated
04/25/2011
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