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1003962960
KELLY D CARROLL
SALT LAKE CITY, UT
NPI
1003962960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 3251999922)
Enumeration Date
2007-01-25
Last Update Date
2018-08-02
Business Address
KELLY D CARROLL DDS
2114 FORT UNION BLVD
SALT LAKE CITY, UT 84121
Phone number: 801-943-2020
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Mailing Address
KELLY D CARROLL DDS
4023 E PROSPECTOR DR
SLC, UT 84121
Phone number: 801-733-5858
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