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