DR. Bryan E Gottfredson, DDS

NPI #1174501688 in Magna, Utah

Provider Information

NPI Number: 1174501688
Entity Type: Individual
Name: DR. Bryan E Gottfredson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 4, 2006
Last Updated: Jul 12, 2010

Practice Location

Address: 9010 W 2700 S
City: Magna
State: Utah
ZIP Code: 84044-1002
Phone: (801) 250-7311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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