Individual
MARK JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3330 N UNIVERSITY AVE STE A, PROVO, UT 84604-4454
(801) 615-2917
Mailing address
784 W 2920 N, LEHI, UT 84043-6022
(801) 368-8674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8544722-9921
UT
Other
Enumeration date
09/06/2011
Last updated
03/17/2024
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