Kelly A Mangrum, D.D.S.
NPI #1396992699 in Cottonwood Heights, Utah
Provider Information
- NPI Number
- 1396992699
- Entity Type
- Individual
- Name
- Kelly A Mangrum, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
Practice Location
- Address
- 7110 HIGHLAND DR
- State
- Utah
- ZIP Code
- 84121-3704
- Phone
- (801) 943-6880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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