Individual
JAMI BALLANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
55 N REDWOOD RD, SALT LAKE CITY, UT 84116-3121
(801) 519-2222
Mailing address
2918 E KSEL DR, SANDY, UT 84092-3465
(206) 940-2375
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10130779-9923
UT
Other
Enumeration date
07/03/2014
Last updated
05/27/2020
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