Individual
JOHN TYLER ZAGOREC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3785 W 10400 S STE 103, SOUTH JORDAN, UT 84009-5649
(801) 253-2249
Mailing address
1324 E DOWNINGTON AVE, SALT LAKE CITY, UT 84105-3735
(801) 652-7379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2020025428
MO
1223G0001X
General Practice Dentistry
Primary
8264015-9926
UT
Other
Enumeration date
05/29/2018
Last updated
10/16/2023
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