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1790978682
BRUCE PARK LOOSLI
SALT LAKE CITY, UT
NPI
1790978682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 145173-9922)
Enumeration Date
2007-08-23
Last Update Date
2007-08-23
Business Address
Mr. BRUCE PARK LOOSLI DMD
3060 S REDWOOD RD
SALT LAKE CITY, UT 84119-3058
Phone number: 801-972-0555
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Mailing Address
Mr. BRUCE PARK LOOSLI DMD
3060 S REDWOOD RD
SALT LAKE CITY, UT 84119-3058
Phone number: 801-972-0555
Copy
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