Individual
DR. KIRKLAND GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 466-6645
(801) 466-6649
Mailing address
620 E 2100 S, SALT LAKE CITY, UT 84106-1828
(801) 466-6645
(801) 466-6649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4954-595
UT
Other
Enumeration date
05/08/2007
Last updated
08/07/2012
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