Kdst Dental

NPI #1508528761 in American Fork, Utah

Provider Information

NPI Number: 1508528761
Entity Type: Organization
Organization Name: Kdst Dental
Subpart: Yes (part of a larger organization)
Parent Organization: KDST DENTAL
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 5, 2021
Last Updated: Oct 5, 2021

Practice Location

Address: 291 N 300 E STE B
City: American Fork
State: Utah
ZIP Code: 84003-1881
Phone: (801) 756-0933

Authorized Official

Name: DR. SCOTT A. TRACY, DDS
Title: MANAGER, MEMBER
Phone: (801) 756-0933

Specialties & Taxonomy Codes

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

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