Organization
KENNETH R DIBBLE DDS
Active
Other names
Lone Peak Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R DIBBLE DDS (OWNER/PRESIDENT)
(801) 572-4430
Entity
Organization
Contact information
Practice address
9853 S 700 E, SANDY, UT 84070-3900
(801) 572-4430
(801) 572-5751
Mailing address
9853 S 700 E, SANDY, UT 84070-3900
(801) 572-4430
(801) 572-4430
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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