Individual
KYLIE DANIELLE PLATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
80 S MAIN ST, CENTERVILLE, UT 84014-1817
(801) 292-6995
Mailing address
3037 MOJAVE LN, PROVO, UT 84604-4853
(702) 285-1300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8717076-9920
UT
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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