Packard Dental PC

NPI #1831421155 in Roy, Utah

Provider Information

NPI Number: 1831421155
Entity Type: Organization
Organization Name: Packard Dental PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 11, 2010
Last Updated: Feb 11, 2010

Practice Location

Address: 3505 W 4800 S
City: Roy
State: Utah
ZIP Code: 84067-9461
Phone: (801) 985-3300

Authorized Official

Name: JONATHAN D PACKARD, D.M.D
Title: DENTIST
Phone: (801) 985-3300

Specialties & Taxonomy Codes

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

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