Individual
DR. JEFFREY TRENT WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
722 BRIDLE POINTE CV, DRAPER, UT 84020-7001
(801) 918-5488
Mailing address
722 BRIDLE POINTE CV, DRAPER, UT 84020-7001
(801) 918-5488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5094305-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5094305-9922
UTAH STATE DENTAL BOARD
UT
Enumeration date
07/05/2011
Last updated
07/05/2011
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