JERRY BECK BLACK

SALT LAKE CITY, UT
NPI1124062872
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  137953)
Enumeration Date2006-06-15
Last Update Date2007-07-08
Business Address
Dr. JERRY BECK BLACK D.D.S.
1925 E 5600 S
SALT LAKE CITY, UT 84121-1351
Phone number: 801-278-0458
Mailing Address
Dr. JERRY BECK BLACK D.D.S.
8913 RED WILLOW CIR
SANDY, UT 84093-1488
Phone number: 801-255-6742
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