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1255535167
BRENT JAY ISAKSON
ROY, UT
NPI
1255535167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 138541-9922)
Enumeration Date
2007-06-13
Last Update Date
2007-07-08
Business Address
-- BRENT JAY ISAKSON D.M.D.
5139 S 1900 W
ROY, UT 84067-2997
Phone number: 801-773-8212
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Mailing Address
-- BRENT JAY ISAKSON D.M.D.
5139 S 1900 W
ROY, UT 84067-2997
Phone number: 801-773-8212
Copy
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