| K B Dentistry | |
|
204 East Fort Union Blvd, Suite 101 Midvale UT 84047 | |
| (801) 255-3578 | |
| (801) 210-7628 |
| Full Name | K B Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 East Fort Union Blvd, Suite 101, Midvale, Utah |
| Authorized Official Name and Position | Kyle W. Dimond (DENTIST) |
| Authorized Official Contact | 8012553578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K B Dentistry 204 East Fort Union Blvd, Suite 101 Midvale UT 84047 Ph: (801) 255-3578 | K B Dentistry 204 East Fort Union Blvd, Suite 101 Midvale UT 84047 Ph: (801) 255-3578 |
| NPI Number | 1265037014 |
|---|---|
| Provider Enumeration Date | 12/01/2020 |
| Last Update Date | 12/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265037014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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