A Perfect Smile

NPI #1114314747 in Price, Utah

Provider Information

NPI Number
1114314747
Entity Type
Organization
Organization Name
A Perfect Smile
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 21, 2015
Last Updated
Apr 21, 2015

Practice Location

Address
230 N FAIRGROUNDS RD
City
Price
State
Utah
ZIP Code
84501-4205
Phone
(435) 637-2100

Authorized Official

Name
DR. MARVIN BLANE JACKSON, DDS
Title
PRESIDENT
Phone
(801) 210-2568

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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