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1790212785
CHARLES BRIGHAM MILLER
RIVERTON, UT
NPI
1790212785
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 95100829924)
Enumeration Date
2017-05-22
Last Update Date
2024-01-09
Business Address
CHARLES BRIGHAM MILLER
12523 S PASTURE RD STE 150
RIVERTON, UT 84096-4841
Phone number: 801-900-4686
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Mailing Address
CHARLES BRIGHAM MILLER
12523 S PASTURE RD STE 150
RIVERTON, UT 84096-4841
Phone number: 801-900-8686
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