KELLY A MANGRUM

COTTONWOOD HEIGHTS, UT
NPI1396992699
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: UT  2663)
Enumeration Date2008-08-19
Last Update Date2008-08-19
Business Address
-- KELLY A MANGRUM d.d.s.
7110 HIGHLAND DR
COTTONWOOD HEIGHTS, UT 84121-3704
Phone number: 801-943-6880
Mailing Address
-- KELLY A MANGRUM d.d.s.
7L110 SOUTH HIGHLAND DRIVE
COTTONWOOD HEIGHTS, UT 84121
Phone number: 801-943-6880
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