Organization
JAY REDD DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY REDD (OWNER)
(435) 688-1577
Entity
Organization
Contact information
Practice address
2301 SANTA CLARA DR, SUITE D, SANTA CLARA, UT 84765-5472
(435) 688-1577
Mailing address
2301 SANTA CLARA DR, SUITE D, SANTA CLARA, UT 84765-5472
(435) 688-1577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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