Organization
PARK CITY DENTAL ASSOCIATES LLC
Active
Parent organization
PARK CITY DENTAL ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARK CITY DENTAL ASSOCIATES LLC
Authorized official
MARC BRANDON MCKEE DDS (MANAGER)
(435) 671-7956
Entity
Organization
Contact information
Practice address
1830 PROSPECTOR AVE, PARK CITY, UT 84060-7319
(435) 649-6066
Mailing address
1830 PROSPECTOR AVE, PARK CITY, UT 84060-7319
(435) 649-6066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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