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Individual

KIP J. JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1151 ROSEWOOD LN, LAYTON, UT 84041-4413
(801) 546-3513
(801) 546-4118
Mailing address
1151 ROSEWOOD LN, LAYTON, UT 84041-4413
(801) 546-3513
(801) 546-4118

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61557989923
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61557989923
STATE LICENSE
UT
Enumeration date
02/07/2007
Last updated
07/08/2007
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