| Park City Dental Spa | |
|
1526 Ute Blvd Ste 212 Park City UT 84098-7654 | |
| (435) 615-8500 | |
| (435) 214-7246 |
| Full Name | Park City Dental Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1526 Ute Blvd Ste 212, Park City, Utah |
| Authorized Official Name and Position | Dawnetta Kay Abraham (MANAGER) |
| Authorized Official Contact | 4356158500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park City Dental Spa 1526 Ute Blvd Ste 212 Park City UT 84098-7654 Ph: (435) 615-8500 | Park City Dental Spa 1526 Ute Blvd Ste 212 Park City UT 84098-7654 Ph: (435) 615-8500 |
| NPI Number | 1760144117 |
|---|---|
| Provider Enumeration Date | 10/12/2021 |
| Last Update Date | 10/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760144117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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