Organization
PINEBROOK DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KNIGHT D.D.S. (OWNER)
(435) 649-6688
Entity
Organization
Contact information
Practice address
3080 PINEBROOK RD, SUITE 2000, PARK CITY, UT 84098-5422
(435) 649-6688
(435) 649-0654
Mailing address
3080 PINEBROOK RD, SUITE 2000, PARK CITY, UT 84098-5422
(435) 649-6688
(435) 649-0654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
380199
UT
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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