JONATHAN LIDDELL, D.M.D.

Dentist

Active Individual
NPI: 1104845817

Practice Address

702 E SOUTH TEMPLE STE 209
Salt Lake City, UT 84102

Phone: (801) 359-8282

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 5122081-9922 (UT)

Frequently Asked Questions

NPI 1104845817 is the National Provider Identifier for JONATHAN LIDDELL, D.M.D., a Dentist provider located in Salt Lake City, UT. This NPI was enumerated on July 19, 2006.
JONATHAN LIDDELL, D.M.D. practices at 702 E SOUTH TEMPLE STE 209, Salt Lake City, UT 84102.

Quick Facts

NPI
1104845817
Type
Individual
Enumerated
Jul 19, 2006
Last Updated
Jul 8, 2007

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