Bryan E Gottfredson DDS

NPI #1902118557 in Magna, Utah

Provider Information

NPI Number: 1902118557
Entity Type: Organization
Organization Name: Bryan E Gottfredson DDS
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 12, 2010
Last Updated: Jul 12, 2010

Practice Location

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

Authorized Official

Name: DR. BRYAN ELDEN GOTTFREDSON, DDS
Title: DENTIST/ OWNER
Phone: (801) 250-7311

Specialties & Taxonomy Codes

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

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