Individual
DR. BRYAN EVANS CARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41 E 500 N, SPANISH FORK, UT 84660-1515
(801) 504-6295
(801) 504-6548
Mailing address
41 E 500 N, SPANISH FORK, UT 84660-1515
(801) 504-6295
(801) 504-6548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5745
OK
1223E0200X
Endodontics
Primary
45
OK
1223E0200X
Endodontics
9074817
UT
Other
Enumeration date
11/21/2005
Last updated
09/17/2014
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