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1720149453
JEFFERY K. RUPP
SALT LAKE CITY, UT
NPI
1720149453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: UT 6273877-9922)
Enumeration Date
2006-12-13
Last Update Date
2012-09-27
Business Address
JEFFERY K. RUPP D.M.D., M.S.
1548 E 4500 S SUITE 102
SALT LAKE CITY, UT 84117-4209
Phone number: 801-463-1900
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Mailing Address
JEFFERY K. RUPP D.M.D., M.S.
1548 E 4500 S SUITE 102
SALT LAKE CITY, UT 84117-4209
Phone number: 801-463-1900
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