Kyle Spackman, DDS Valid NPI
Individual provider · Dentist · Richmond, UT
- NPI
- 1639730617
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 11299320-9922 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-06-21
- Last updated
- 2019-06-21
Practice location
105 S 200 W
Richmond, UT 84333-1278
(435) 258-2301