Individual
DR. KEITH D. SONNTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
2180 E 4500 S, SUITE #280, SALT LAKE CITY, UT 84117-4434
(801) 274-6900
(801) 274-6903
Mailing address
2180 E 4500 S, SUITE #280, SALT LAKE CITY, UT 84117-4434
(801) 274-6900
(801) 274-6903
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
952942359922
UT
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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