Individual
DR. BRETT R COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
780 S 2000 W, BLDG E304, SYRACUSE, UT 84075
(801) 614-9090
(801) 614-9091
Mailing address
780 S 2000 W, BLDG E304, SYRACUSE, UT 84075
(801) 614-9091
(801) 614-9091
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
51258579921
UT
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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