Individual
KIMBALL BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
991 SHEPARD LN STE 200, FARMINGTON, UT 84025-2974
(801) 737-7437
Mailing address
991 SHEPARD LN STE 100, FARMINGTON, UT 84025-2973
(801) 737-7437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10364461-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2015
Last updated
11/19/2020
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