MARK D. MCKELL

PROVO, UT
NPI1629178728
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: UT  144960-9921)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
MARK D. MCKELL D.D.S.
777 N 500 W # 204
PROVO, UT 84601-1541
Phone number: 801-374-2182
Mailing Address
MARK D. MCKELL D.D.S.
777 N 500 W # 204
PROVO, UT 84601-1541
Phone number: 801-374-2182
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