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Individual

BRYCE RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 N MEDIAL DRIVE DENTAL CLINIC #E11, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11064484-9925
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/22/2023
Last updated
07/07/2025
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