Individual
DR. BRUCE LEON MAGLEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
40L0 S. 700 E., SUITE 6, SALT LAKE CITY, UT 84107
(801) 265-1515
Mailing address
40L0 SOUTH 700 EAST, SUITE 6, SALT LAKE CITY, UT 84107
(801) 265-1515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
L38685
UT
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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