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Individual

DR. BRENT RULON TWITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5547 S 4015 W, SUITE 1, TAYLORSVILLE, UT 84118-4437
(801) 968-3585
(801) 968-3586
Mailing address
5547 S 4015 W, SUITE 1, TAYLORSVILLE, UT 84118-4437
(801) 968-3585
(801) 968-3586

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5665059-9922
UT

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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