Individual
KENNETH JOHN MARZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
918 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 304-9391
(801) 304-9398
Mailing address
918 FORT UNION BLVD, MIDVALE, UT 84047-1714
(801) 304-9391
(801) 304-9398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
275551-9922
UT
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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