Individual
ANGELA KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2114 FORT UNION BLVD, SALT LAKE CITY, UT 84121-3142
(801) 943-2020
Mailing address
2114 FORT UNION BLVD, SALT LAKE CITY, UT 84121-3142
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
80140139922
UT
Other
Enumeration date
06/16/2011
Last updated
06/16/2011
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