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1871709790
PAUL G. INNIS
PARK CITY, UT
NPI
1871709790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: UT 144608-9922)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
PAUL G. INNIS D.M.D.
1901 PROSPECTOR AVE
PARK CITY, UT 84060-7207
Phone number: 435-649-6332
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Mailing Address
PAUL G. INNIS D.M.D.
PO BOX 681179
PARK CITY, UT 84068-1179
Phone number: 435-649-6332
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