Jamstan P C

NPI #1699916502 in Midvale, Utah

Provider Information

NPI Number: 1699916502
Entity Type: Organization
Organization Name: Jamstan P C
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 23, 2009
Last Updated: Mar 23, 2009

Practice Location

Address: 204 FORT UNION BLVD STE 102
City: Midvale
State: Utah
ZIP Code: 84047-5645
Phone: (801) 561-9999

Authorized Official

Name: LINDSEY R GODWIN
Title: PRACTICE ADMINISTRATOR
Phone: (801) 561-9999

Specialties & Taxonomy Codes

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

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