Individual
DR. KEVIN STAPLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10458 S REDWOOD RD, SOUTH JORDAN, UT 84095-8501
(801) 312-8085
Mailing address
658 E WILSON AVE, SALT LAKE CITY, UT 84105-3008
(949) 632-0103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12875608-9921
UT
Other
Enumeration date
06/03/2022
Last updated
06/03/2022
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