Mall Dental Group

NPI #1255357695 in Orem, Utah

Provider Information

NPI Number: 1255357695
Entity Type: Organization
Organization Name: Mall Dental Group
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 575 UNIVERSITY PKWY
Address 2: I163
City: Orem
State: Utah
ZIP Code: 84097-7400
Phone: (801) 426-6255

Authorized Official

Name: DR. KENNETH ALVIN MOLEN, D.D.S.
Title: OWNER
Phone: (801) 426-6255

Specialties & Taxonomy Codes

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

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