Individual
MICHAEL GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3080 PINEBROOK RD STE 2000, PARK CITY, UT 84098-5451
(435) 649-6688
(435) 649-0654
Mailing address
3080 PINEBROOK RD STE 2000, PARK CITY, UT 84098-5451
(435) 649-6688
(435) 649-0654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12364397-9924
UT
Other
Enumeration date
06/19/2013
Last updated
04/26/2022
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