Mark Legrand Mangelson, DDS, MS
Mark Legrand Mangelson, DDS, MS is a Periodontics in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2007
What do these letters mean?
Practice location Address checks out
4010 S 700 E Ste 8Salt Lake City, UT 84107-2573
Phone: (801) 266-3519
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Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X · Licence 1439699922 (UT) |
|---|
Record details
| NPI number | 1851439251 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MS |
| Sole proprietor | Yes |
| NPI enumerated | February 1, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 4010 S 700 E Ste 8, Salt Lake City, UT 84107-2573 |
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