Organization
K B DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W. DIMOND DDS (DENTIST)
(801) 255-3578
Entity
Organization
Contact information
Practice address
204 EAST FORT UNION BLVD, SUITE 101, MIDVALE, UT 84047
(801) 255-3578
(801) 210-7628
Mailing address
204 EAST FORT UNION BLVD, SUITE 101, MIDVALE, UT 84047
(801) 255-3578
(801) 210-7628
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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