Most Relevant Information
Provider Data
NPI Number: | 1003026857 |
Provider Name: | KEITH A LEVER D.D.S |
Entity Type: | Individual |
Taxonomy Code: | 1223G0001X |
Specialty: | Dentist |
License Number: | 47053 |
Most Important Dates
Enumeration Date: | 05/23/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
7321 S STATE ST
STE #C
MIDVALE
UT
840472055
Practice Location Phone/Fax
Phone: | 8012552514 |
Fax: | 8012553040 |
Provider Mailing Location
7321 S STATE ST
STE #C
MIDVALE
UT
840472055
Provider Mailing Phone/Fax
Phone: | 8012552514 |
Fax: | 8012553040 |