Snow Country Dental Care | |
1729 Sidewinder Dr Ste 102 Park City UT 84060-7518 | |
(435) 649-9492 | |
Not Available |
Full Name | Snow Country Dental Care |
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Speciality | Dentist - General Practice |
Location | 1729 Sidewinder Dr Ste 102, Park City, Utah |
Authorized Official Name and Position | Jr Dethorn (OWNER) |
Authorized Official Contact | 4356499492 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Snow Country Dental Care 2680 E Bridgeport Ave Cottonwood Heights UT 84121-5603 Ph: (435) 649-9492 | Snow Country Dental Care 1729 Sidewinder Dr Ste 102 Park City UT 84060-7518 Ph: (435) 649-9492 |
NPI Number | 1841627460 |
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Provider Enumeration Date | 09/27/2013 |
Last Update Date | 09/27/2013 |
Identifier | Type | State | Issuer |
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1841627460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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