Individual
BRADY N MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2797 N HIGHWAY 89, #200, PLEASANT VIEW, UT 84404-1216
(801) 782-5682
Mailing address
9757 S CANDLEWOOD CIR, SANDY, UT 84092-3281
(801) 808-2605
(801) 752-1466
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9371431-9921
UT
Other
Enumeration date
10/24/2012
Last updated
01/06/2017
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