Individual
MS. JENNIFER W WYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1512 RENAISSANCE TOWNE DRIVE, SUITE 200, BOUNTIFUL, UT 84010
(801) 292-2622
(801) 292-2258
Mailing address
1512 RENAISSANCE TOWNE DRIVE, SUITE 200, BOUNTIFUL, UT 84010
(801) 292-2622
(801) 292-2258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6947302-9922
UT
Other
Enumeration date
07/15/2008
Last updated
08/09/2018
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