Organization
MP DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D. MCKELL D.D.S. (OWNER)
(801) 374-2182
Entity
Organization
Contact information
Practice address
777 N. 500 W. #204, PROUD, UT 84601
(801) 374-2182
(801) 374-0130
Mailing address
777 N 500 W #204, PROUD, UT 84601
(801) 374-2182
(801) 374-0130
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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