Mark Jardine, DDS

NPI #1801177704 in Provo, Utah

Provider Information

NPI Number: 1801177704
Entity Type: Individual
Name: Mark Jardine, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Sep 6, 2011
Last Updated: Mar 17, 2024

Practice Location

Address: 3330 N UNIVERSITY AVE STE A
City: Provo
State: Utah
ZIP Code: 84604-4454
Phone: (801) 615-2917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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