Kyle Sansom, DDS

NPI #1396275087 in Hill Afb, Utah

Provider Information

NPI Number: 1396275087
Entity Type: Individual
Name: Kyle Sansom, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 14, 2017
Last Updated: Aug 11, 2021

Practice Location

Address: 7321 BALMER ST
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (017) 777-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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