Organization
DAVIS CENTER FOR ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI JEWKES (OFFICE MANAGER)
(801) 614-0999
Entity
Organization
Contact information
Practice address
890 HERITAGE PARK BLVD STE 103, LAYTON, UT 84041-5622
(801) 614-0999
Mailing address
890 HERITAGE PARK BLVD STE 103, LAYTON, UT 84041-5622
(801) 614-0999
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5889917
UT
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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