Individual
DR. JACOB BOYACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2651 W SOUTH JORDAN PKWY STE 203, SOUTH JORDAN, UT 84095-8968
(801) 254-5553
Mailing address
2651 W SOUTH JORDAN PKWY STE 203, SOUTH JORDAN, UT 84095-8968
(801) 254-5553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9410476-9922
UT
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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