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1871978981
JACOB BOYACK
SOUTH JORDAN, UT
NPI
1871978981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 9410476-9922)
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
Dr. JACOB BOYACK DMD
2651 W SOUTH JORDAN PKWY STE 203
SOUTH JORDAN, UT 84095-8968
Phone number: 801-254-5553
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Mailing Address
Dr. JACOB BOYACK DMD
2651 W SOUTH JORDAN PKWY STE 203
SOUTH JORDAN, UT 84095-8968
Phone number: 801-254-5553
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