Individual
DR. BRIANT T. BADGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 S 700 E, SALT LAKE CITY, UT 84102-2105
(801) 355-4730
Mailing address
4508 BUTTERNUT RD, HOLLADAY, UT 84117-4530
(801) 277-9715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2754
UT
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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