Individual
DR. BRYCE W WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3564 S 7200 W, STE B, MAGNA, UT 84044-3507
(801) 250-1717
Mailing address
3564 S 7200 W, STE B, MAGNA, UT 84044-3507
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
73622769922
UT
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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