ROD J. BRIDGE

PROVO, UT
NPI1174741227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: UT  22150)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Dr. ROD J. BRIDGE D.D.S.Periodontist
745 N 500 W SUITE 102
PROVO, UT 84601-1472
Phone number: 801-374-8002
Mailing Address
Dr. ROD J. BRIDGE D.D.S.Periodontist
745 N 500 W SUITE 102
PROVO, UT 84601-1472
Phone number: 801-374-8002
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