Individual
DR. JEREMIAH MAURICE LINDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1064 S 2300 W, SYRACUSE, UT 84075-5002
(801) 643-6167
Mailing address
1064 S 2300 W, SYRACUSE, UT 84075-5002
(801) 643-6541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2836579922
UT
Other
Enumeration date
01/19/2006
Last updated
01/27/2014
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