Organization
HEALTHY IMAGE ORAL & MAXILLOFACIAL RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACOB S DUNN DMD, MS (DIRECTOR)
(385) 444-3210
Entity
Organization
Contact information
Practice address
14056 S CHARDONNAY WAY, BLUFFDALE, UT 84065-3857
(385) 444-3210
Mailing address
PO BOX 656, DRAPER, UT 84020-0656
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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