Individual
DR. JASON WAREHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6040 S FASHION BLVD STE 100, MURRAY, UT 84107
(801) 262-6661
(801) 268-4820
Mailing address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-5609
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9844486-9922
UT
Other
Enumeration date
06/08/2016
Last updated
07/12/2018
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