Individual
DR. BRANDON MICHAEL PRIEBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 HIGHWAY 91, RICHMOND, UT 84333-1278
(435) 258-2301
Mailing address
1392 E 1900 N, LOGAN, UT 84341-2022
(206) 218-5676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7073264-9922
UT
Other
Enumeration date
07/28/2008
Last updated
07/28/2008
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