Individual
DR. MARK KENNEDY DORROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
345 E GATEWAY DR, SUITE 200, HEBER CITY, UT 84032
(435) 252-0456
(435) 292-6009
Mailing address
345 E GATEWAY DR, SUITE 200, HEBER CITY, UT 84032
(435) 252-0456
(435) 292-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9496943-9922
UT
1223G0001X
General Practice Dentistry
D7185
OR
Other
Enumeration date
10/11/2006
Last updated
02/03/2017
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