Individual provider · Type 1 NPI

Jonathan Philip Coudron, DDS

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1659509966 Active

Practice location

500 Foothill Dr
Salt Lake City, UT 84148-0001

Call (801) 584-1206 Map

Fax (801) 584-5690

Mailing address

1871 Connor St
Salt Lake City, UT 84108-3007

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659509966

Jonathan Philip Coudron, DDS's National Provider Identifier is 1659509966, issued on Jun 24, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 24, 2009.