Individual
DAVID BRADLEY PATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
826 S 3000 E, ST GEORGE, UT 84790-1823
(435) 656-8003
Mailing address
1038 E 4155 S, WASHINGTON, UT 84780-3605
(435) 363-5990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11038193-9923
UT
Other
Enumeration date
04/10/2018
Last updated
03/29/2024
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