Wallace B Brown
Dentist in Salt Lake City, UT

License number
Utah 133933-9921
Issued Date
Jun 25, 1972
Expiration Date
May 31, 2006
Category
Dental
Type
Dentist - Anesthesia Class I Permit
Address
Address
Salt Lake City, UT
Education
UNIVERSITY OF WASHINGTON HEALTH SCIENCES SCHOOL OF
LicenseFiles verified this license of Nov 18, 2016 at the Utah Division of Occupational and Professional Licensing.

Organization information

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WALLACE B. BROWN D.D.S. P.C. A PROFESSIONAL CORPORATION

1955 S 1300 E #6, Salt Lake City, UT 84105

Status:
Inactive
Registration:
Apr 22, 1976
State ID:
663657-0144
Business type:
Corporation - Professional
Agent:
Wallace B. Brown,1955 S 1300 E #6, Salt Lake City, UT 84105 (Physical)

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