Organization · Type 2 NPI
Park City PDC PLLC
Dental Clinic/Center · Park City, UT
NPI number
1669909511
Active
Practice location
1729 Sidewinder Dr., Ste 102
Park City, UT 84060-7518
Fax (801) 692-9083
Mailing address
PO Box 970309
Orem, UT 84097-0309
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 352590747 (UT) |
Dental Clinic/Center: Definition to come...
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About NPI 1669909511
Park City PDC PLLC's National Provider Identifier is 1669909511, issued on May 22, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Park City, UT. The record was last updated on Jul 2, 2021.