Jared Hepworth

NPI #1063893832 in Provo, Utah

Provider Information

NPI Number: 1063893832
Entity Type: Individual
Name: Jared Hepworth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 17, 2015
Last Updated: Jun 17, 2015

Practice Location

Address: 1234 N 900 E
City: Provo
State: Utah
ZIP Code: 84604-2719
Phone: (801) 854-9140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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