Individual
DR. GRANT ATWOOD BROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1435 S 1350 E, CLEARFIELD, UT 84015-1300
(801) 773-5285
Mailing address
1435 S 1350 E, CLEARFIELD, UT 84015-1300
(801) 773-5285
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275232-9922
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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