Organization
BRAD HUFFAKER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY FORD HUFFAKER DDS (PRESIDENT)
(801) 292-5172
Entity
Organization
Contact information
Practice address
134 S MAIN ST, CENTERVILLE, UT 84014-2814
(801) 292-5172
Mailing address
134 S MAIN ST, CENTERVILLE, UT 84014-2814
(801) 292-5172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10411720-9922
UT
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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