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1346462488
MICHAEL KELLY SOUTAS
SPRINGVILLE, UT
NPI
1346462488
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 374892-9922)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL KELLY SOUTAS DMD
485 S MAIN ST
SPRINGVILLE, UT 84663-2279
Phone number: 801-489-6811
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Mailing Address
Dr. MICHAEL KELLY SOUTAS DMD
485 S MAIN ST
SPRINGVILLE, UT 84663-2279
Phone number: 801-489-6811
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