Individual
DR. DANIEL JAY THEURER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1955 S 1300 E, SUITE L-2, SALT LAKE CITY, UT 84105-3658
(801) 486-9649
(801) 486-9640
Mailing address
1955 S 1300 E, SUITE L-2, SALT LAKE CITY, UT 84105-3658
(801) 486-9649
(801) 486-9640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7394687
UT
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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