Mark D. Mckell, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Provo, UT

NPI

1629178728

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

144960-9921 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-09-25

Last updated

2007-07-08