Individual
DR. BRYCE ENSLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3693 W 13400 S, RIVERTON, UT 84065-6411
(801) 878-3111
Mailing address
66 E LAKE VIEW DR, VINEYARD, UT 84058-5548
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10798224-9922
UT
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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