WELLS S. BROCKBANK

SPANISH FORK, UT
NPI1487752630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  142412)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
DR. WELLS S. BROCKBANK DDS
490 N MAIN ST
SPANISH FORK, UT 84660-1440
Phone number: 801-798-9874
Mailing Address
DR. WELLS S. BROCKBANK DDS
490 N MAIN ST
SPANISH FORK, UT 84660-1440
Phone number: 801-798-9874
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