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1114296019
JASON DAVID ALLAN
OREM, UT
NPI
1114296019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 6250598)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
Dr. JASON DAVID ALLAN DDS
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774
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Mailing Address
Dr. JASON DAVID ALLAN DDS
1176 S 1480 W
OREM, UT 84058-4905
Phone number: 801-426-0774
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