KELLY A MANGRUM, D.D.S.
Dentist at Highland Dr, Salt Lake City, UT

License number
Utah 2663
Category
Dentist
Type
General Practice
Address
Address
7110 Highland Dr, Salt Lake City, UT 84121
Phone
(801) 943-6880
(801) 943-4744 (Fax)
National Provider ID: 1396992699
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about KELLY A MANGRUM at bizstanding.com

KELLY A. MANGRUM D.D.S., PC

7110 S Highland Dr, Salt Lake City, UT 84121

Status:
Inactive
Industry:
Dentists, Oral Surgeons
Doing business as:
KELLY A. MANGRUM, DDS PC<br>Kelly Mangrum DDS
Registration:
Oct 16, 2001
Phone:
(801) 943-6880 (Phone)
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
4996329-0144
Business type:
Corporation - Professional
Kelly A. Mangrum
Agent:
Kelly A Mangrum,7110 S Highland Dr, Salt Lake City, UT 84121 (Physical)

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