Kelly D Carroll, DDS
NPI #1003962960 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1003962960
- Entity Type
- Individual
- Name
- Kelly D Carroll, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 25, 2007
- Last Updated
- Aug 2, 2018
Practice Location
- Address
- 2114 FORT UNION BLVD
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84121
- Phone
- (801) 943-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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