Individual
DR. BRETT MICHAEL PACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 N MEDICAL DR, SUITE 3550, SLC, UT 84113-1103
(801) 662-3900
Mailing address
1212 SCOTS FIELD CT, MURRAY, UT 84123-2654
(801) 897-9658
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6362621-9921
UT
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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