Individual
LAUREN KOBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
88 E STATE ST, FARMINGTON, UT 84025-2343
(801) 451-2341
Mailing address
15101 REDGATE DR, SILVER SPRING, MD 20905-5730
(801) 661-6087
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11322714-9922
UT
Other
Enumeration date
06/09/2019
Last updated
06/04/2024
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