Organization
KIM G. ROBERTS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE LOWRY (OFFICE MANAGER)
(801) 424-3500
Entity
Organization
Contact information
Practice address
4046 HIGHLAND DR, #114, SALT LAKE CITY, UT 84124-1673
(801) 424-3500
Mailing address
4046 HIGHLAND DR, #114, SALT LAKE CITY, UT 84124-1673
(801) 424-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142369
UT
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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