Individual
JONATHAN ASHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3610 N UNIVERSITY AVE, PROVO, UT 84604-4437
(801) 377-9600
Mailing address
3610 N UNIVERSITY AVE, PROVO, UT 84604-4437
(801) 377-9600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12317355-9923
UT
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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