Individual
DR. BRADY E BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 E FOREST ST, SUITE F, BRIGHAM CITY, UT 84302-2127
(435) 723-2318
(435) 723-3684
Mailing address
111 E FOREST ST, SUITE F, BRIGHAM CITY, UT 84302-2127
(435) 723-2318
(435) 723-3684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6213980-9922
UT
122300000X
Dentist
D-3756
ID
Other
Enumeration date
08/22/2005
Last updated
09/08/2008
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