Sandy Shores Pediatric Dentistry

NPI #1154737427 in Sandy, Utah

Provider Information

NPI Number: 1154737427
Entity Type: Organization
Organization Name: Sandy Shores Pediatric Dentistry
Primary Specialty: Dentist
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 1434 E. 9400 S. #205
City: Sandy
State: Utah
ZIP Code: 84092
Phone: (801) 571-5800

Authorized Official

Name: DR. JAMES HENRY BEKKER, DMD
Title: DENTIST
Phone: (801) 571-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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