JEDIDIAH DAVID SMITH

SALT LAKE CITY, UT
NPI1649603572
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: UT  9488924-9934)
Additional Taxonomies152W00000X Optometrist
(Licence: IL  046010703)
Enumeration Date2013-08-14
Last Update Date2016-06-29
Business Address
Dr. JEDIDIAH DAVID SMITH O.D.
1818 S 300 W
SALT LAKE CITY, UT 84115-1805
Phone number: 801-485-9715
Mailing Address
Dr. JEDIDIAH DAVID SMITH O.D.
1945 E BRANDON PARK WAY
SANDY, UT 84092-5234
Phone number: 801-842-1728
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