Individual
DR. KIM COLLEEN MAKI-WORLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 S 4000 W, SUITE #140, WEST VALLEY, UT 84120-3260
(801) 969-6200
(801) 963-0359
Mailing address
3540 S 4000 W, WEST VALLEY, UT 84120-3260
(801) 969-6200
(801) 963-0359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143519-9922
UT
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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