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1841668100
KEVIN MANGELSON
TAYLORSVILLE, UT
NPI
1841668100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 9467504-9921)
Enumeration Date
2015-09-03
Last Update Date
2019-01-08
Business Address
Dr. KEVIN MANGELSON D.M.D.
6287 S REDWOOD RD STE 101
TAYLORSVILLE, UT 84123-6653
Phone number: 208-869-1696
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Mailing Address
Dr. KEVIN MANGELSON D.M.D.
6287 S REDWOOD RD STE 101
TAYLORSVILLE, UT 84123-6653
Phone number: 208-869-1696
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