Individual provider · Type 1 NPI

Jackie Imlay

General Practice Dentistry · St. George, UT

NPI number 1851783203 Active

About NPI 1851783203

Jackie Imlay's National Provider Identifier is 1851783203, issued on Feb 23, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. George, UT. The record was last updated on Feb 23, 2015.