Organization
ISMILE AT KAYSVILLE LLC
Active
Other names
Progressive Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON G BARTON DDS (MEMBER/OWNER)
(801) 544-3953
Entity
Organization
Contact information
Practice address
302 N MAIN ST, KAYSVILLE, UT 84037-6766
(801) 544-3953
(801) 660-1312
Mailing address
302 N MAIN ST, KAYSVILLE, UT 84037-6766
(801) 544-3953
(801) 660-1312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5310263
UT
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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