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Individual

DR. JASON D SKINNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
622 E 4500 S, SUITE 101, SALT LAKE CITY, UT 84107-2921
(801) 313-1800
(801) 313-1803
Mailing address
622 E 4500 S, SUITE 101, SALT LAKE CITY, UT 84107-2921
(801) 313-1800
(801) 313-1803

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
323034
UT

Other

Enumeration date
01/09/2007
Last updated
06/01/2023
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