| Nka Holdings Pllc | |
|
3451 S 5600 W West Valley City UT 84120-1301 | |
| (801) 969-1400 | |
| Not Available |
| Full Name | Nka Holdings Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3451 S 5600 W, West Valley City, Utah |
| Authorized Official Name and Position | Nielson Kirk Ashton (SOLE PROPRIETOR) |
| Authorized Official Contact | 8019156049 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nka Holdings Pllc 3552 S 1300 E Salt Lake City UT 84106-2936 Ph: (801) 915-6049 | Nka Holdings Pllc 3451 S 5600 W West Valley City UT 84120-1301 Ph: (801) 969-1400 |
| NPI Number | 1578094702 |
|---|---|
| Provider Enumeration Date | 03/21/2017 |
| Last Update Date | 03/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578094702 | NPI | - | NPPES |
| 1023421740 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9296076 (Utah) | Primary |
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