LARRY A BRAITHWAITE

PROVO, UT
NPI1265549810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  317547)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
Dr. LARRY A BRAITHWAITE DDS
1675 NORTH 200 WEST BLDG 12A
PROVO, UT 84604
Phone number: 801-375-4600
Mailing Address
Dr. LARRY A BRAITHWAITE DDS
1675 NORTH 200 WEST BLDG 12A
PROVO, UT 84604
Phone number: 801-375-4600
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