Jeremy Dwight Manwaring DMD,MS

NPI 1659536225 - Dentist - 1223P0300X

NPI Details
NPI 1659536225
Gender Male
Enumeration Date 07/23/2008
Last Updated 07/23/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6287 S. REDWOOD ROAD
SUITE#102
SALT LAKE CITY UT, 84123, US
Phone (801) 293-8833
Fax (801) 293-8844
Business Location
6287 S. REDWOOD ROAD
SUITE #102
SALT LAKE CITY UT, 84123, US
Phone (801) 293-8833
Fax (801) 293-8844
Toxanomy
Taxonomy Code 1223P0300X
License State Utah
License Number 5682796
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According to our database, Dr. Jeremy Dwight Manwaring DMD,MS NPI is 1659536225, taxonomy code is 1223P0300X and license number is 5682796, license state is located at Utah. Jeremy Dwight Manwaring DMD,MS physically located at 6287 S. Redwood Road, Salt Lake City UT, 84123. NPI Number Jeremy Dwight Manwaring DMD,MS has the Individual type.

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1659536225 NPI number is provided on an as is basis without warranty of any kind. 1659536225 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Dwight Manwaring DMD,MS are for informational purposes only.