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1629165170
DAVID MICHAEL JACKSON
WEST VALLEY CITY, UT
NPI
1629165170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 5138062)
Enumeration Date
2006-10-06
Last Update Date
2007-07-08
Business Address
DAVID MICHAEL JACKSON DDS
3550 S 5600 W SUITE 3
WEST VALLEY CITY, UT 84120-2776
Phone number: 801-966-3166
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Mailing Address
DAVID MICHAEL JACKSON DDS
3550 S 5600 W SUITE 3
WEST VALLEY CITY, UT 84120-2734
Phone number: 801-966-3166
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