CHILDREN'S DENTISTRY
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1235505587- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1551 RENAISSANCE TOWNE DR STE 540, BOUNTIFUL, UT, 840107667
- Phone
- (801) 295-8322
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: UT #141802