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1801455597
JASON M GORDON
SALT LAKE CITY, UT
NPI
1801455597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 11313905-9922)
Enumeration Date
2019-06-06
Last Update Date
2020-06-09
Business Address
Dr. JASON M GORDON DDS
1963 S 1200 E STE 103
SALT LAKE CITY, UT 84105-3523
Phone number: 801-466-1212
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Mailing Address
Dr. JASON M GORDON DDS
4577 S 4000 W STE B
WEST VALLEY, UT 84120-6222
Phone number: 801-895-2788
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