Individual
DR. SANTIAGO MARTIN GARDOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3755 W 7800 S, WEST JORDAN, UT 84088-4487
(801) 781-5820
(385) 270-8361
Mailing address
3755 W 7800 S, WEST JORDAN, UT 84088-4487
(801) 781-5820
(385) 270-8361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8442967-9922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8442967-9922
MEDICARE
UT
Enumeration date
07/20/2012
Last updated
03/09/2020
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