JACOB FONCEA

SALT LAKE CITY, UT
NPI1881435386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist Pediatric Dentistry
(Licence: UT  14017196-9926)
Enumeration Date2024-06-06
Last Update Date2024-06-06
Business Address
JACOB FONCEA
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-3900
Mailing Address
JACOB FONCEA
99 E PRINCETON DR APT F312
SANDY, UT 84070-1278
Phone number: