Individual
DR. BRIAN CRAIG ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1830 PROSPECTOR AVE, PARK CITY, UT 84060-7319
(435) 649-6959
Mailing address
2420 E WRENHAVEN LN, SALT LAKE CITY, UT 84121-2365
(801) 891-5580
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8715278-9921
UT
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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