DR. Kelly A Faddis, DDS

NPI #1003858432 in Draper, Utah

Provider Information

NPI Number
1003858432
Entity Type
Individual
Name
DR. Kelly A Faddis, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 11, 2006
Last Updated
May 31, 2011

Practice Location

Address
11760 S 700 E
Address 2
#110
City
Draper
State
Utah
ZIP Code
84020-6604
Phone
(801) 571-6688

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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