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Individual

NIELSON KIRK ASHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2180 E 4500 S STE 250, SALT LAKE CITY, UT 84117-4475
(801) 272-8609
Mailing address
2180 E 4500 S STE 250, SALT LAKE CITY, UT 84117-4475
(801) 272-8609

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9296076
UT

Other

Enumeration date
06/10/2014
Last updated
04/02/2020
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