Individual
DR. KENNETH ROY THORELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4970 S 900 E STE B, SALT LAKE CITY, UT 84117-5798
(801) 261-2013
(801) 262-2851
Mailing address
4970 S 900 E STE B, SALT LAKE CITY, UT 84117-5798
(801) 261-2013
(801) 262-2851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
134987-9921
UT
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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