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Individual

JORDAN JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1060 W PARK LN STE 110, FARMINGTON, UT 84025-2994
(801) 797-0068
Mailing address
775 S 400 E, SALT LAKE CITY, UT 84111-4003
(801) 906-3380

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14223910-9926
UT

Other

Enumeration date
05/23/2025
Last updated
05/23/2025
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