Individual
DR. JEREMY DWIGHT MANWARING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD,MS
Contact information
Practice address
6287 S. REDWOOD ROAD, SUITE#102, SALT LAKE CITY, UT 84123
(801) 293-8833
(801) 293-8844
Mailing address
6287 S. REDWOOD ROAD, SUITE #102, SALT LAKE CITY, UT 84123
(801) 293-8833
(801) 293-8844
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5682796
UT
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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