Individual
DR. MARK JAMES CALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
370 E SOUTH TEMPLE, SUITE 220, SALT LAKE CITY, UT 84111-1206
(801) 355-8287
Mailing address
261 GLEN DR, FARMINGTON, UT 84025-2304
(801) 451-5664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
141407-9921
UT
Other
Enumeration date
06/16/2006
Last updated
07/18/2012
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