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Individual

DR. BRUCE G PITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
281 S MAIN ST, CENTERVILLE, UT 84014-2292
(801) 295-6192
(801) 295-6011
Mailing address
281 S MAIN ST, CENTERVILLE, UT 84014-2292
(801) 295-6192
(801) 295-6011

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
134487
UT

Other

Enumeration date
06/20/2007
Last updated
07/08/2007
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