Organization
KCKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRKALND GRAHAM DDS (OWNER)
(801) 671-6359
Entity
Organization
Contact information
Practice address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 671-6359
Mailing address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 671-6359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/15/2025
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