Organization
CARDON ENDODONTICS PC
Active
Other names
Maple Ridge Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN CARDON DMD (PRESIDENT)
(801) 504-6295
Entity
Organization
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
1223E0200X
Endodontics
Primary
9074817
UT
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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