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1487752630
WELLS S. BROCKBANK
SPANISH FORK, UT
NPI
1487752630
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 142412)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. WELLS S. BROCKBANK DDS
490 N MAIN ST
SPANISH FORK, UT 84660-1440
Phone number: 801-798-9874
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Mailing Address
Dr. WELLS S. BROCKBANK DDS
490 N MAIN ST
SPANISH FORK, UT 84660-1440
Phone number: 801-798-9874
Copy
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