| Jardine Alliance Pllc | |
|
3330 N University Ave Ste A Provo UT 84604-4454 | |
| (801) 615-2917 | |
| Not Available |
| Full Name | Jardine Alliance Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3330 N University Ave Ste A, Provo, Utah |
| Authorized Official Name and Position | Mark Jardine (OWNER/DENTIST) |
| Authorized Official Contact | 8013688674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jardine Alliance Pllc 784 W 2920 N Lehi UT 84043-6022 Ph: (801) 368-8674 | Jardine Alliance Pllc 3330 N University Ave Ste A Provo UT 84604-4454 Ph: (801) 615-2917 |
| NPI Number | 1801655964 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801655964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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