Organization
STANSBURY PARK DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F MCCONNELL III DMD (OWNER)
(435) 882-2850
Entity
Organization
Contact information
Practice address
263 COUNTRY CLB, #103, STANSBURY PARK, UT 84074-9600
(435) 882-2850
(435) 843-8852
Mailing address
263 COUNTRY CLB, #103, STANSBURY PARK, UT 84074-9600
(435) 882-2850
(435) 843-8852
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
369873
UT
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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