Individual
MR. KEVIN RICHARD MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
745 NORTH 500 WEST, SUITE 103, PROVO, UT 84601
(801) 373-4200
(801) 373-0816
Mailing address
745 NORTH 500 WEST, SUITE 103, PROVO, UT 84601
(801) 373-4200
(801) 373-0816
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
144270-8903
UT
1223P0221X
Pediatric Dentistry
—
UT
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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