Individual
KYLE R MARSHALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
378 E 400 S, STE #1, SPRINGVILLE, UT 84663-1980
(801) 489-9456
(801) 489-9839
Mailing address
378 E 400 S, STE #1, SPRINGVILLE, UT 84663
(801) 491-2868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5942222-9922
UT
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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