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Individual

NIKI XIRAN WAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1963 S 1200 E STE 103, SALT LAKE CITY, UT 84105-3523
(801) 466-1212
Mailing address
2021 E SUNNYSIDE AVE UNIT 6210, SALT LAKE CITY, UT 84108-1496
(615) 617-7018

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14292332-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/26/2023
Last updated
07/07/2026
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