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Individual

MICHAEL KENT MATHESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3939 WASATCH BLVD, SUITE 4, SALT LAKE CITY, UT 84124-2216
(801) 424-0027
(801) 424-0029
Mailing address
3939 WASATCH BLVD, SUITE 4, SALT LAKE CITY, UT 84124-2216
(801) 424-0027
(801) 424-0029

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
362747-9922
UT

Other

Enumeration date
05/08/2007
Last updated
08/23/2023
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