Individual
BRENDA FUELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12959 SOUTH PICKET FENCE LANE, RIVERTON, UT 84065
(801) 712-1154
Mailing address
12959 S PICKET FENCE LN, RIVERTON, UT 84065-6933
(801) 712-1154
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5328674-9920
UT
Other
Enumeration date
09/09/2017
Last updated
07/21/2022
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