Individual
DR. KIMBERLY DOUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
389 N MAIN ST, SPANISH FORK, UT 84660-1734
(801) 798-1118
Mailing address
2116 E SILVERADO LN, SPANISH FORK, UT 84660-6273
(928) 240-8745
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12292393-9926
UT
Other
Enumeration date
05/28/2019
Last updated
07/09/2024
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