Individual
PAIGE HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4745 S 3200 W, TAYLORSVILLE, UT 84129-2822
(801) 964-6214
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2162
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
1222527
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
10/28/2021
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