Individual
DR. TREVOR NICHOLS LABRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2332 W 12600 S, RIVERTON, UT 84065-7161
(801) 253-4547
(801) 302-0814
Mailing address
9965 S CITY LIGHTS CIR, SOUTH JORDAN, UT 84095-9097
(801) 815-9203
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
90531249922
UT
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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