Magna Pdc Pllc

NPI #1255106084 in Magna, Utah

Provider Information

NPI Number: 1255106084
Entity Type: Organization
Organization Name: Magna Pdc Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 21, 2023
Last Updated: Nov 21, 2023

Practice Location

Address: 9010 W MAGNA MAIN ST
City: Magna
State: Utah
ZIP Code: 84044-1002
Phone: (801) 250-7311

Authorized Official

Name: MARK CHRISTENSEN
Title: CREDENTIALING SPECIALIST
Phone: (801) 691-1701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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DR. Bryan E Gottfredson, DDS	Dentist - General Practice	Magna	AI Deep Dive
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Nicholas Scott Cantwell, D.D.S.	Dentist - General Practice	Magna	AI Deep Dive
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