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Organization
FAIRFIELD PDC PLLC
Active
Organization
FAIRFIELD PDC PLLC
Active
Other names
Fairfield Dental Care P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA LARSEN (REVENUE CYCLE MANAGEMENT)
(801) 305-3460
Entity
Organization
Contact information
Practice address
1086 N FAIRFIELD RD, LAYTON, UT 84041-8353
(801) 547-8880
(801) 547-8911
Mailing address
PO BOX 971414, OREM, UT 84097-1414
(801) 547-8880
(801) 547-8911
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
02/28/2023
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