Individual
BRANDON RICHARD BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
469 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8922
(801) 292-3012
(801) 397-2058
Mailing address
469 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8922
(801) 292-3012
(801) 397-2058
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7456327-9922
UT
Other
Enumeration date
10/28/2009
Last updated
10/28/2009
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