Individual
DR. JENNIFER CRESPO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5458 S REDWOOD RD, TAYLORSVILLE, UT 84123
(385) 401-1331
Mailing address
5458 S REDWOOD RD, TAYLORSVILLE, UT 84123
(385) 401-1331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11199680-9922
UT
122300000X
Dentist
63979
CA
1223G0001X
General Practice Dentistry
30.023522
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
09/09/2010
Last updated
02/16/2023
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