Mountain View Pediatric Dentistry of Layton

NPI #1083921704 in Layton, Utah

Provider Information

NPI Number: 1083921704
Entity Type: Organization
Organization Name: Mountain View Pediatric Dentistry of Layton
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 1, 2010
Last Updated: Sep 1, 2010

Practice Location

Address: 195 E GENTILE ST
Address 2: SUITE #11
City: Layton
State: Utah
ZIP Code: 84041-3754
Phone: (801) 779-2900

Authorized Official

Name: DR. BRETT PACKHAM, DDS
Title: MANAGING MEMBER
Phone: (801) 779-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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