Individual
DR. BRANDON TYLER WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9829 S 1300 E STE 102, SANDY, UT 84094-4065
(801) 553-3562
(801) 553-3564
Mailing address
9829 S 1300 E STE 102, SANDY, UT 84094-4065
(801) 553-3562
(801) 553-3564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7414783-9922
UT
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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