PATRICK BRAIN

SANDY, UT
NPI1689793994
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT  5624573-9924)
Enumeration Date2007-03-28
Last Update Date2007-07-08
Business Address
-- PATRICK BRAIN dds
11400 SOUTH 1030 EAST SUITE C
SANDY, UT 84094
Phone number: 801-572-0100
Mailing Address
-- PATRICK BRAIN dds
11400 SOUTH 1030 EAST SUITE C
SANDY, UT 84094
Phone number: 801-572-0100
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