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Individual

MR. BRENDEN LYNN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
686 EAST 110 SOUTH, SUITE 102, AMERICAN FORK, UT 84003
(801) 756-4595
(801) 756-1827
Mailing address
686 EAST 110 SOUTH, SUITE 102, AMERICAN FORK, UT 84003
(801) 756-4595
(801) 756-1827

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D1106
OR
1223G0001X
General Practice Dentistry
Primary
10832973
UT

Other

Enumeration date
04/27/2018
Last updated
12/04/2024
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