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1881435386
JACOB FONCEA
SALT LAKE CITY, UT
NPI
1881435386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 14017196-9926)
Enumeration Date
2024-06-06
Last Update Date
2024-06-06
Business Address
JACOB FONCEA
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-3900
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Mailing Address
JACOB FONCEA
99 E PRINCETON DR APT F312
SANDY, UT 84070-1278
Phone number:
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