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1326530486
BRAD C THEURER
LOGAN, UT
NPI
1326530486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 10842216-9922)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
BRAD C THEURER DDS
1340 N 600 E STE 1
LOGAN, UT 84341-2475
Phone number: 435-752-2230
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Mailing Address
BRAD C THEURER DDS
531 S 1080 E
SMITHFIELD, UT 84335
Phone number: 435-760-9258
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