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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