Search › Utah › 1223G0001X
Kelly Mangrum, D.D.S
NPI 1396992699 · on the registry since 2008 · sole proprietor
Practice
- Address
- 7110 Highland Dr
Cottonwood Heights, UT 84121 - Phone
- (801) 943-6880
- Fax
- (801) 943-4744
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah