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1033312806
BRENT L BAKER
WEST VALLEY CITY, UT
NPI
1033312806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 137881-9922)
Enumeration Date
2007-06-07
Last Update Date
2007-07-08
Business Address
BRENT L BAKER
2854 W 4700 S SUITE C
WEST VALLEY CITY, UT 84118-2102
Phone number: 801-964-8300
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Mailing Address
BRENT L BAKER
2854 W 4700 S SUITE C
WEST VALLEY CITY, UT 84118-2102
Phone number:
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