Individual
DR. DAVID EDWARD JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
870 E 9400 S, #110, SANDY, UT 84094-3666
(801) 571-8391
(801) 571-8285
Mailing address
4327 HIDDEN QUAIL CIR, HOLLADAY, UT 84124-3600
(801) 278-9898
(801) 571-8285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
138455-9922
UT
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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