Organization
SNOW COUNTRY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JR DETHORN (OWNER)
(435) 649-9492
Entity
Organization
Contact information
Practice address
1729 SIDEWINDER DR STE 102, PARK CITY, UT 84060-7518
(435) 649-9492
Mailing address
2680 E BRIDGEPORT AVE, COTTONWOOD HEIGHTS, UT 84121-5603
(435) 649-9492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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