Individual
KASH STODDARD MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 584-1206
Mailing address
4147 S CLOVER LN, HOLLADAY, UT 84124-2711
(208) 227-3662
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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