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M KELLY SOUTAS DMD PC

Dentist

NPI: 1316315369Organization

Specialties, Licenses & Credentials

Customized Equipment (DME)

Durable Medical Equipment & Medical Supplies — Customized Equipment

Code: 332BC3200X

DentistPrimary

Dentist

Code: 122300000X

374892(UT)

Contact & Hours

Address
485 S MAIN ST, STE 302
SPRINGVILLE, UT 84663

Quick Facts

NPI
1316315369
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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