DR. Rod J. Bridge, D.D.S.PERIODONTIST

NPI #1174741227 in Provo, Utah

Provider Information

NPI Number
1174741227
Entity Type
Individual
Name
DR. Rod J. Bridge, D.D.S.PERIODONTIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.PERIODONTIST
Enumeration Date
Apr 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
745 N 500 W
Address 2
SUITE 102
City
Provo
State
Utah
ZIP Code
84601-1472
Phone
(801) 374-8002

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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