Individual
KILEE ROSE ALLRED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3237 N 1350 E, NORTH OGDEN, UT 84414-1955
(385) 294-7615
Mailing address
3237 N 1350 E, NORTH OGDEN, UT 84414-1955
(385) 294-7615
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11627380-9920
UT
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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