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1710450655
KELLY D. CARROLL D.D.S., PC
SALT LAKE CITY, UT
NPI
1710450655
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Entity Type
Organization
Authorized Contact
KIM HICKEN
Office Manager
801-943-2020
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2019-01-03
Last Update Date
2019-01-03
Business Address
KELLY D. CARROLL D.D.S., PC
2114 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-3142
Phone number: 801-943-2020
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Mailing Address
KELLY D. CARROLL D.D.S., PC
2114 E FORT UNION BLVD
SALT LAKE CITY, UT 84121-3142
Phone number: 801-943-2020
Copy
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