Organization
JOHN R. AYRE, JR. DDS PC
Active
Other names
a child's smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R AYRE JR. DDS (OWNER)
(801) 840-4833
Entity
Organization
Contact information
Practice address
6973 S 4800 W, SUITE C, WEST JORDAN, UT 84084-7927
(801) 840-4833
(801) 969-2628
Mailing address
6973 S 4800 W, SUITE C, WEST JORDAN, UT 84084-7927
(801) 840-4833
(801) 969-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
374350
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519024150002
—
UT
Enumeration date
07/08/2010
Last updated
07/08/2010
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