Individual
KIRK SIMMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
221 N 1450 W, WEST BOUNTIFUL, UT 84087-1947
(801) 834-8616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10860013-9923
UT
Other
Enumeration date
04/30/2018
Last updated
07/15/2024
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