Individual
DR. KILEY BOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1508 E SKYLINE DR STE 400, OGDEN, UT 84405-4856
(801) 475-6500
Mailing address
1508 E SKYLINE DR STE 400, OGDEN, UT 84405-4856
(801) 475-6500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8020079-8903
UT
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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