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1275097859
KELLY ROSS CARLISLE
BOUNTIFUL, UT
NPI
1275097859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 11287528-9922)
Enumeration Date
2019-01-28
Last Update Date
2020-04-09
Business Address
Dr. KELLY ROSS CARLISLE DMD, BS
535 E 500 S
BOUNTIFUL, UT 84010-3873
Phone number: 801-292-7807
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Mailing Address
Dr. KELLY ROSS CARLISLE DMD, BS
391 W 3200 S
BOUNTIFUL, UT 84010
Phone number: 408-621-7744
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