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1285831990
MAURICE GUSTAF JENKINS
PROVO, UT
NPI
1285831990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: NE 6700)
Enumeration Date
2007-06-27
Last Update Date
2020-12-11
Business Address
Dr. MAURICE GUSTAF JENKINS D.D.S., M.D.
280 RIVER PARK DR STE 360
PROVO, UT 84604-5835
Phone number: 801-437-7701
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Mailing Address
Dr. MAURICE GUSTAF JENKINS D.D.S., M.D.
280 RIVER PARK DR STE 360
PROVO, UT 84604-5835
Phone number: 801-437-7701
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