Organization
KAYSVILLE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL KIPPEN (OFFICE MANAGER)
(801) 546-2439
Entity
Organization
Contact information
Practice address
47 E CRESTWOOD RD STE 5, KAYSVILLE, UT 84037-1445
(801) 546-2439
(801) 546-0759
Mailing address
47 E CRESTWOOD RD STE 5, KAYSVILLE, UT 84037-1445
(801) 546-2439
(801) 546-0759
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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