DR. Harold Grant Brockbank, D.D.S.

NPI #1558452102 in Murray, Utah

Provider Information

NPI Number: 1558452102
Entity Type: Individual
Name: DR. Harold Grant Brockbank, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 164 E 5900 S
Address 2: SUITE A-104
City: Murray
State: Utah
ZIP Code: 84107-7256
Phone: (801) 266-0462

Specialties & Taxonomy Codes

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

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