| G&g Dental Pllc | |
|
1764 Uinta Way Ste E1 Park City UT 84098-7674 | |
| (435) 647-3012 | |
| Not Available |
| Full Name | G&g Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1764 Uinta Way Ste E1, Park City, Utah |
| Authorized Official Name and Position | Donna Gordon (OWNER/MANAGER) |
| Authorized Official Contact | 4356473012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G&g Dental Pllc Po Box 980367 Park City UT 84098-0367 Ph: (435) 647-3012 | G&g Dental Pllc 1764 Uinta Way Ste E1 Park City UT 84098-7674 Ph: (435) 647-3012 |
| NPI Number | 1730644717 |
|---|---|
| Provider Enumeration Date | 02/04/2019 |
| Last Update Date | 02/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730644717 | NPI | - | NPPES |
| 1285713263 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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