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Individual

DR. BRADEN CORDELL ATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4645 S 4000 W STE B, WEST VALLEY CITY, UT 84120-6250
(216) 264-6804
Mailing address
617 W 1825 N, CENTERVILLE, UT 84014-3148
(801) 201-7429

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
9017911-9924
UT

Other

Enumeration date
08/03/2011
Last updated
04/05/2021
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