Mangelson, Mark Legrand

Mangelson, Mark Legrand is an sole proprietor health care provider with primary practice located at 4010 S 700 E Ste 8 , Salt Lake City UT 84107-2573. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Mangelson, Mark Legrand can be contacted via phone (801) 266-3519.

Contact Information

Primary practice address
4010 S 700 E Ste 8 Salt Lake City UT 84107-2573
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 1439699922 Utah

Profile Details

NPI number 1851439251
LBN Legal business name Mangelson, Mark Legrand
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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