Individual
CODY MICHAEL CALDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SNOW CREEK DR STE A, PARK CITY, UT 84060
(435) 649-4343
Mailing address
1600 SNOW CREEK DR STE A, PARK CITY, UT 84060-7372
(435) 649-4343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7190993
UT
Other
Enumeration date
07/16/2008
Last updated
06/12/2018
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