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1104845817
JONATHAN C LIDDELL
SALT LAKE CITY, UT
NPI
1104845817
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 5122081-9922)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
-- JONATHAN C LIDDELL D.M.D.
702 E SOUTH TEMPLE STE 209
SALT LAKE CITY, UT 84102-1795
Phone number: 801-359-8282
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Mailing Address
-- JONATHAN C LIDDELL D.M.D.
702 E SOUTH TEMPLE STE 209
SALT LAKE CITY, UT 84102-1795
Phone number: 801-359-8282
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