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1457373805
JONATHAN DAVID PACKARD
ROY, UT
NPI
1457373805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 294835-9922)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Dr. JONATHAN DAVID PACKARD D.M.D.
3505 W 4800 S
ROY, UT 84067-9461
Phone number: 801-985-3300
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Mailing Address
Dr. JONATHAN DAVID PACKARD D.M.D.
4690 S 4650 W
WEST HAVEN, UT 84401-9301
Phone number:
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