Individual
DR. JARED M THEURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1955 S 1300 E, STE. L2, SALT LAKE CITY, UT 84105-3638
(801) 486-9649
(801) 486-9640
Mailing address
1955 S 1300 E, STE. L2, SALT LAKE CITY, UT 84105-3638
(801) 486-9649
(801) 486-9640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
337770-9922
UT
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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