Jessica Beaver, RDH, BS
Dental Hygienist in Herriman, UT. Individual provider (NPI-1).
NPI number1356864516
StatusActive
Last updated in NPPESJul 19, 2017
Details
- NPI
- 1356864516
- Entity type
- Individual (NPI-1)
- Name
- Jessica Beaver
- Credential
- RDH, BS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2017
- Last updated
- Jul 19, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 9041914-9920 | UT | Yes |
Practice location
13073 S Plum Grove CtHerriman, UT 84096-5763
Phone 801-906-1619
Mailing address
13073 S Plum Grove CtHerriman, UT 84096-5763
Phone 18019061619
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