Individual
KIP MICHAEL-DAVID FRITZ STERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 E 200 N STE G, LOGAN, UT 84321-4036
(435) 753-7668
Mailing address
150 E 200 N STE G, LOGAN, UT 84321-4036
(435) 753-7668
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11897186-9922
UT
1223E0200X
Endodontics
9177
AZ
Other
Enumeration date
04/24/2015
Last updated
05/24/2021
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