Individual
DR. KELLY MACKAY FRANDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
75 NORTH 100 EAST, BOX 386, GUNNISON, UT 84634-0386
(435) 528-7316
Mailing address
75 NORTH 100 EAST, BOX 386, GUNNISON, UT 84634-0386
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
143147-9922
UT
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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