Individual
MR. MARK BROOKS MURDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
30 E 700 S, BRIGHAM CITY, UT 84302-3235
(435) 734-2248
(435) 723-0778
Mailing address
698 W 700 S, BRIGHAM CITY, UT 84302-2875
(435) 723-0629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4931937-8903
UT
1223G0001X
General Practice Dentistry
Primary
4931937-9922
UT
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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