JASEN SCOTT DEBRINE

SPANISH FORK, UT
NPI1366014730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  6110076)
Enumeration Date2021-07-14
Last Update Date2021-08-17
Business Address
JASEN SCOTT DEBRINE
82 E 900 N STE A
SPANISH FORK, UT 84660-1244
Phone number: 801-798-3526
Mailing Address
JASEN SCOTT DEBRINE
82 E 900 N STE A
SPANISH FORK, UT 84660-1244
Phone number: 801-798-3526