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1255171245
JACOB BRIAN MOSS
WEST JORDAN, UT
NPI
1255171245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 14004167-9926)
Enumeration Date
2024-05-28
Last Update Date
2024-05-28
Business Address
JACOB BRIAN MOSS DDS
7632 S CAMPUS VIEW DR STE 150
WEST JORDAN, UT 84084-5545
Phone number: 801-282-4142
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Mailing Address
JACOB BRIAN MOSS DDS
2924 S GARDEN MEADOWS CV
SOUTH SALT LAKE, UT 84106-1302
Phone number: 801-884-9386
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