Individual
DR. BRYAN E GOTTFREDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9010 W 2700 S, MAGNA, UT 84044-1002
(801) 250-7311
(801) 250-3801
Mailing address
9010 W 2700 S, MAGNA, UT 84044-1002
(801) 250-7311
(801) 250-3801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
360010
UT
Other
Enumeration date
01/04/2006
Last updated
07/12/2010
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