Pdc Sandy

NPI #1164833794 in Sandy, Utah

Provider Information

NPI Number: 1164833794
Entity Type: Organization
Organization Name: Pdc Sandy
Primary Specialty: Dentist
Enumeration Date: May 16, 2014
Last Updated: May 16, 2014

Practice Location

Address: 1844 E 9400 S
City: Sandy
State: Utah
ZIP Code: 84093-3000
Phone: (801) 590-3266

Authorized Official

Name: DR. JUAN CHAVEZ, DMD
Title: DENTIST
Phone: (801) 590-3266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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