Individual
JUSTIN JAY NYBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 N FAIRFIELD RD, LAYTON, UT 84041-3339
(801) 444-9911
(801) 544-2255
Mailing address
525 N FAIRFIELD RD, LAYTON, UT 84041-3339
(801) 444-9911
(801) 544-2255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10387202-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10387202-9922
STATE LICENSE
UT
Enumeration date
06/09/2017
Last updated
03/07/2023
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