Individual
DR. KEVIN LLOYD MANSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 E 11400 S, SUITE 102, SANDY, UT 84094-6902
(801) 572-2250
(801) 572-2337
Mailing address
1030 E 11400 S, SUITE 102, SANDY, UT 84094-6902
(801) 572-2250
(801) 572-2337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5597760-9922
UT
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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