Individual
DR. JONATHAN BLAIR GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
331 HIGHWAY 123, EAST CARBON, UT 84520-0930
(435) 888-4411
(435) 888-2270
Mailing address
PO BOX 930, EAST CARBON, UT 84520-0930
(435) 888-4411
(435) 888-4411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
326378-9922
UT
Other
Enumeration date
08/07/2006
Last updated
01/03/2020
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