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1316004443
KENNETH P. BORG
SALT LAKE CITY, UT
NPI
1316004443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 131692)
Enumeration Date
2007-01-01
Last Update Date
2007-07-08
Business Address
Dr. KENNETH P. BORG DDS
160 S 1000 E SUITE 340
SALT LAKE CITY, UT 84102-1428
Phone number: 801-355-3065
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Mailing Address
Dr. KENNETH P. BORG DDS
160 S 1000 E SUITE 340
SALT LAKE CITY, UT 84102-1428
Phone number: 801-355-3065
Copy
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