Individual
JASON JULIUS KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2162
Mailing address
733 E 3200 S, PRESTON, ID 83263-5544
(208) 320-7333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4832
ID
Other
Enumeration date
03/29/2016
Last updated
06/24/2024
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