Individual
KYLE ROSS HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
707 E MILL RD STE 102, VINEYARD, UT 84059-5732
(801) 360-3129
Mailing address
473 S 1925 E, SPRINGVILLE, UT 84663-2925
(801) 360-3129
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11888837-9925
UT
Other
Enumeration date
06/14/2017
Last updated
08/16/2021
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