Individual
MR. BRUCE PARK LOOSLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3823 W 9000 S STE B, WEST JORDAN, UT 84088-5604
(018) 679-3455
(801) 849-8291
Mailing address
3823 W 9000 S STE B, WEST JORDAN, UT 84088-5604
(018) 679-3455
(801) 849-8291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
145173-9922
UT
Other
Enumeration date
08/23/2007
Last updated
01/06/2025
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