Individual
BRENT JAY ISAKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5139 S 1900 W, ROY, UT 84067-2997
(801) 773-8212
Mailing address
5139 S 1900 W, ROY, UT 84067-2997
(801) 773-8212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
138541-9922
UT
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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