Individual
DR. BRENT ALEXANDER MILNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7321 11TH ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7011
Mailing address
7321 11TH ST BLDG 570, HILL AFB, UT 84056-5012
(801) 777-7011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6688619-9921
UT
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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