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Individual

KARISSA THOMETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
6957 S 1300 E, COTTONWOOD HEIGHTS, UT 84047-1817
(801) 747-8015
Mailing address
13257 S LAUREL PARK LN, DRAPER, UT 84020-8878
(425) 444-5339

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13368846-9921
UT

Other

Enumeration date
05/02/2023
Last updated
05/02/2023
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