KELLY MANGRUM, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1396992699
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 2663 (UT) |
Frequently Asked Questions
NPI 1396992699 is the National Provider Identifier for KELLY MANGRUM, D.D.S., a Dentist - General Practice provider located in Cottonwood Heights, UT. This NPI was enumerated on August 19, 2008.
KELLY MANGRUM, D.D.S. practices at 7110 HIGHLAND DR, Cottonwood Heights, UT 84121.
Quick Facts
- NPI
- 1396992699
- Type
- Individual
- Enumerated
- Aug 19, 2008
- Last Updated
- Aug 19, 2008
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