Individual
MR. JAY A ALDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
128004-8903
UT
1223G0001X
General Practice Dentistry
Primary
128004-9921
UT
Other
Enumeration date
09/21/2006
Last updated
03/07/2023
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