MICHAEL BRANDON GREEN

WEST JORDAN, UT
NPI1861606584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  6229925)
Enumeration Date2007-05-10
Last Update Date2007-07-09
Business Address
-- MICHAEL BRANDON GREEN D.D.S.
9217 REDWOOD RD SUITE B
WEST JORDAN, UT 84088-5826
Phone number: 801-566-1873
Mailing Address
-- MICHAEL BRANDON GREEN D.D.S.
9217 REDWOOD RD SUITE B
WEST JORDAN, UT 84088-5826
Phone number: 801-566-1873
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