Organization
PAUL INNIS DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL INNIS DMD (PRESIDENT)
(435) 649-6332
Entity
Organization
Contact information
Practice address
6584 N. CREEKSIDE LANE, PARK CITY, UT 84098
(435) 649-6332
Mailing address
PO BOX 681179, PARK CITY, UT 84068-1179
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/01/2007
Last updated
03/11/2011
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