Individual
DR. M DOUGLAS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4970 S 900 E, SUITE G, SALT LAKE CITY, UT 84117-5776
(801) 262-6811
Mailing address
4970 S 900 E, SUITE G, SALT LAKE CITY, UT 84117-5776
(801) 262-6811
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
135199
UT
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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