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Individual

DR. JONATHAN F COLEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, PC

Contact information

Practice address
1441 UTE BLVD., SUITE 200, PARK CITY, UT 84098
(435) 604-0887
(435) 604-0885
Mailing address
1441 UTE BLVD, SUITE 200, PARK CITY, UT 84098-7630
(435) 604-0887
(435) 604-0885

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
264646
UT

Other

Enumeration date
07/20/2005
Last updated
09/05/2008
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