| Magna Pdc Pllc | |
|
9010 W Magna Main St Magna UT 84044-1002 | |
| (801) 250-7311 | |
| Not Available |
| Full Name | Magna Pdc Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9010 W Magna Main St, Magna, Utah |
| Authorized Official Name and Position | Mark Christensen (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8016911701 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magna Pdc Pllc Po Box 970098 Orem UT 84097-0014 Ph: (801) 691-1701 | Magna Pdc Pllc 9010 W Magna Main St Magna UT 84044-1002 Ph: (801) 250-7311 |
| NPI Number | 1255106084 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255106084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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