Individual
KIMBERLY JOHNSON ENGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3564 S 7200 W STE B, MAGNA, UT 84044-3507
(801) 250-1717
Mailing address
3564 S 7200 W STE B, MAGNA, UT 84044-3507
(801) 250-1717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
345009-9922
UT
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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