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Organization

G&G DENTAL PLLC

Active
Other names
Mountain High Family Dental and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA GORDON (OWNER/MANAGER)
(435) 647-3012
Entity
Organization

Contact information

Practice address
1764 UINTA WAY STE E1, PARK CITY, UT 84098-7674
(435) 647-3012
Mailing address
PO BOX 980367, PARK CITY, UT 84098-0367
(435) 647-3012

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1285713263
NPI
Enumeration date
02/04/2019
Last updated
02/04/2019
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