KELLY D CARROLL

SALT LAKE CITY, UT
NPI1003962960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  3251999922)
Enumeration Date2007-01-25
Last Update Date2018-08-02
Business Address
KELLY D CARROLL DDS
2114 FORT UNION BLVD
SALT LAKE CITY, UT 84121
Phone number: 801-943-2020
Mailing Address
KELLY D CARROLL DDS
4023 E PROSPECTOR DR
SLC, UT 84121
Phone number: 801-733-5858
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