Individual
JONATHAN G CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1345 E 3900 S, #116, SALT LAKE CITY, UT 84124-1474
(801) 278-4223
(801) 278-2628
Mailing address
1345 E 3900 S, SALT LAKE CITY, UT 84124-1474
(801) 278-4223
(801) 278-2628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
373764-9923
UT
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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