Individual
DR. KELLY C EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
70 W GORDON AVE, LAYTON, UT 84041-2569
(801) 544-3844
(801) 544-8832
Mailing address
70 W GORDON AVE, LAYTON, UT 84041-2569
(801) 544-3844
(801) 544-8832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4552226
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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