Organization
JARDINE ALLIANCE PLLC
Active
Other names
Pfeifferhorn Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JARDINE DDS (OWNER/DENTIST)
(801) 368-8674
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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