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Organization

MCCONNELL DENTAL CARE III

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES FARRELL MCCONNELL III DMD (OWNER)
(435) 830-4967
Entity
Organization

Contact information

Practice address
263 COUNTRY CLB STE 102, STANSBURY PARK, UT 84074-9602
(435) 830-4967
Mailing address
263 COUNTRY CLB STE 102, STANSBURY PARK, UT 84074-9602
(435) 830-4967

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/09/2019
Last updated
07/09/2019
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