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1902004450
JAY GLEN SHIELDS
BOUNTIFUL, UT
NPI
1902004450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 1300729922)
Enumeration Date
2007-07-06
Last Update Date
2007-07-08
Business Address
Dr. JAY GLEN SHIELDS DDS
1037 EAST CLAREMONT DR
BOUNTIFUL, UT 84010
Phone number: 801-295-1613
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Mailing Address
Dr. JAY GLEN SHIELDS DDS
1037 E CLAREMONT DR
BOUNTIFUL, UT 84010
Phone number: 801-295-1613
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