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1821103094
BRUCE ALLEN DANIEL
FT. DUCHESNE, UT
NPI
1821103094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 22877)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
Dr. BRUCE ALLEN DANIEL DDS
6822 E 1000 S
FT. DUCHESNE, UT 84026
Phone number: 435-722-5122
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Mailing Address
Dr. BRUCE ALLEN DANIEL DDS
2675 W 1500 N
VERNAL, UT 84078-9626
Phone number:
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