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Individual

DR. RYAN WADE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
(801) 955-2389
Mailing address
30 N 1900 E, ROOM IC412, SLC, UT 84132-0002
(801) 581-8951
(801) 585-6485

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8668209-9922
UT

Other

Enumeration date
05/09/2012
Last updated
07/13/2015
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