Organization
RIDGE PARK DENTAL
Active
Other names
Dr. Grant A. Brough, DDS, PC, Grant A Brough, DDS, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT ATWOOD BROUGH DDS (OWNER/OPERATOR)
(801) 773-5285
Entity
Organization
Contact information
Practice address
2307 N HILL FIELD RD STE 101, LAYTON, UT 84041-6890
(801) 773-5285
(801) 773-2850
Mailing address
2307 N HILL FIELD RD STE 101, LAYTON, UT 84041-6890
(801) 773-5285
(801) 773-2850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
275232
UT
Other
Enumeration date
03/12/2018
Last updated
06/16/2018
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