Individual
DR. KEVIN MANGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10654 S RIVER HEIGHTS DR STE 240, SOUTH JORDAN, UT 84095-5541
(208) 869-1696
Mailing address
10654 S RIVER HEIGHTS DR STE 240, SOUTH JORDAN, UT 84095-5541
(208) 869-1696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9467504-9921
UT
Other
Enumeration date
09/03/2015
Last updated
03/24/2026
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