Individual
DR. JARED CRAIG CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4102 PINION DR, SUITE 100, U S A F ACADEMY, CO 80840-2502
(719) 333-5190
Mailing address
589 SOUTH STATE STREET, PROVO, UT 84606-5056
(801) 429-2000
(801) 429-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6654264-9923
UT
1223G0001X
General Practice Dentistry
8998
CO
Other
Enumeration date
05/09/2006
Last updated
02/14/2011
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