Individual
DR. JON D MANWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7138 SO HIGHLAND DR, #109, SALT LAKE CITY, UT 84121
(801) 942-0101
(801) 842-7652
Mailing address
7138 SO HIGHLAND DR, #109, SALT LAKE CITY, UT 84121
(801) 942-0101
(801) 842-7652
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
1348449922
UT
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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