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1083973002
BRYAN GLEN TRUMP
SALT LAKE CITY, UT
NPI
1083973002
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: UT 9021109-9921)
Enumeration Date
2012-05-11
Last Update Date
2021-12-20
Business Address
BRYAN GLEN TRUMP DDS, MS
530 S WAKARA WAY
SALT LAKE CITY, UT 84108-1213
Phone number: 801-587-6189
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Mailing Address
BRYAN GLEN TRUMP DDS, MS
530 S WAKARA WAY
SALT LAKE CITY, UT 84108-1213
Phone number: 801-587-6189
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