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1952659708
MATTHEW VAUGHN JACOBSEN
RIVERTON, UT
NPI
1952659708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 8320347-9922)
Enumeration Date
2012-08-28
Last Update Date
2021-02-03
Business Address
Dr. MATTHEW VAUGHN JACOBSEN DDS
4013 W 13400 S
RIVERTON, UT 84096-6410
Phone number: 385-210-1000
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Mailing Address
Dr. MATTHEW VAUGHN JACOBSEN DDS
4013 W 13400 S
RIVERTON, UT 84096-6410
Phone number: 385-210-1000
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