Kckg
NPI #1386434280 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1386434280
- Entity Type
- Organization
- Organization Name
- Kckg
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 12, 2025
- Last Updated
- May 15, 2025
Practice Location
- Address
- 620 E 2100 S
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84106-1828
- Phone
- (801) 671-6359
Authorized Official
- Name
- DR. KIRKALND GRAHAM, DDS
- Title
- OWNER
- Phone
- (801) 671-6359
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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