Individual
DR. KENNETH P. BORG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
160 S 1000 E, SUITE 340, SALT LAKE CITY, UT 84102-1428
(801) 355-3065
(801) 596-2767
Mailing address
160 S 1000 E, SUITE 340, SALT LAKE CITY, UT 84102-1428
(801) 355-3065
(801) 596-2767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
131692
UT
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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