BRADLEY ALAN PRAST

SALT LAKE CITY, UT
NPI1790484293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-02-23
Last Update Date2023-02-27
Business Address
BRADLEY ALAN PRAST
50 N MEDICAL DR DENTAL CLINIC #E11
SALT LAKE CITY, UT 84132-1213
Phone number: 801-581-8951
Mailing Address
BRADLEY ALAN PRAST
530 S WAKARA WAY
SALT LAKE CITY, UT 84108-1213
Phone number: 801-587-2191
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