Individual
DR. KENNETH DARRELL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
250 EAST 300 SOUTH, SUITE 320, SALT LAKE CITY, UT 84111
(801) 532-6279
Mailing address
250 EAST 300 SOUTH, SUITE 320, SALT LAKE CITY, UT 84111
(801) 532-6279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
135030
UT
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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