Individual
KENT A GIAUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1345 E 3900 S, # 210, SALT LAKE CITY, UT 84124-1474
(801) 272-4466
Mailing address
1345 E 3900 S, # 210, SALT LAKE CITY, UT 84124-1474
(801) 272-4466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2078
UT
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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