| Rise Park City Pllc | |
|
1800 Prospector Ave Park City UT 84060-7319 | |
| (435) 214-0544 | |
| Not Available |
| Full Name | Rise Park City Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1800 Prospector Ave, Park City, Utah |
| Authorized Official Name and Position | Christopher Ryan Osorio (OWNER) |
| Authorized Official Contact | 4352140544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rise Park City Pllc 5240 Heather Ln Park City UT 84098-5967 Ph: (321) 271-8201 | Rise Park City Pllc 1800 Prospector Ave Park City UT 84060-7319 Ph: (435) 214-0544 |
| NPI Number | 1083451496 |
|---|---|
| Provider Enumeration Date | 07/12/2024 |
| Last Update Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083451496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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