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Individual

DR. JASON NORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
215 W 100 N, PROVO, UT 84601-4433
(801) 374-9660
Mailing address
589 SOUTH STATE STREET, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4747595-9922
UT

Other

Enumeration date
05/05/2007
Last updated
02/14/2011
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