Individual
DR. JACOB DANIEL REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2090 E 2100 S, SLC, UT 84109-1152
(801) 486-1155
Mailing address
2341 E JOHN HOLLADAY CT, HOLLADAY, UT 84117-4628
(801) 608-5664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13403126-9923
UT
Other
Enumeration date
05/23/2023
Last updated
09/04/2024
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