Individual
DR. J BRENT MINNOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
460 S 400 E, BOUNTIFUL, UT 84010-4975
(801) 295-5586
(801) 292-5342
Mailing address
460 S 400 E, BOUNTIFUL, UT 84010-4975
(801) 295-5586
(801) 292-5342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1302999922
UT
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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