Organization
MOUNTAIN SKY DENTAL LLC
Active
Parent organization
MOUNTAIN SKY DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAIN SKY DENTAL LLC
Authorized official
RANDALL J KELLEY DMD (OWNER)
(385) 244-1530
Entity
Organization
Contact information
Practice address
5640 SOUTH WASATCH DR STE A, SO. OGDEN, UT 84403
(385) 244-1530
(385) 244-1530
Mailing address
5640 SOUTH WASATCH DR STE A, SO. OGDEN, UT 84403
(385) 244-1530
(385) 244-1530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/05/2021
Last updated
06/05/2021
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