Individual
DR. JONATHAN PHILIP COUDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 584-1206
(801) 584-5690
Mailing address
1871 CONNOR ST, SALT LAKE CITY, UT 84108-3007
(804) 332-4516
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/24/2009
Last updated
06/24/2009
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