Individual
DR. BRENT ARTHUR TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
634 B ST, JBER, AK 99505-6650
(907) 384-2483
Mailing address
RICHARDSON DENTAL CLINIC, 634 B STREET, JBER, AK 99505
(907) 384-2483
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8344088-9921
UT
1223G0001X
General Practice Dentistry
Primary
8344088-9921
UT
Other
Enumeration date
09/13/2012
Last updated
03/20/2023
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