Individual
DR. KEVIN CLARK UTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S
Contact information
Practice address
298 GERMANTOWN BEND CV, CORDOVA, TN 38018-7237
(901) 756-6200
(901) 756-5161
Mailing address
298 GERMANTOWN BEND CV, CORDOVA, TN 38018-7237
(901) 756-6200
(901) 756-5161
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS5251
TN
Other
Enumeration date
12/06/2006
Last updated
07/09/2007
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