Individual
BRUCE J. O'DONOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1951 W 4700 S STE 5, TAYLORSVILLE, UT 84129-1108
(801) 969-1800
(801) 969-6223
Mailing address
1951 W 4700 S, TAYLORSVILLE, UT 84118-1108
(801) 969-1800
(801) 969-6223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
325200-9922
UT
Other
Enumeration date
06/06/2006
Last updated
06/15/2021
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