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1659591238
MARK J MCDONOUGH
SALT LAKE CITY, UT
NPI
1659591238
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: UT 137504)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
-- MARK J MCDONOUGH DDS MSD PC
6070 SOUTH 1300 EAST SUITE 202
SALT LAKE CITY, UT 84121-6724
Phone number: 801-266-2662
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Mailing Address
-- MARK J MCDONOUGH DDS MSD PC
6070 SOUTH 1300 EAST SUITE 202
SALT LAKE CITY, UT 84121-6724
Phone number: 801-266-2662
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