Stansbury Pediatric Dentistry
NPI #1154742054 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1154742054
- Entity Type
- Organization
- Organization Name
- Stansbury Pediatric Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 18, 2013
- Last Updated
- Dec 18, 2013
Practice Location
- Address
- 220 MILLPOND
- Address 2
- SUITE #107
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9745
- Phone
- (435) 843-5437
Authorized Official
- Name
- MARCI NICOL
- Title
- VP OF OPERATIONS
- Phone
- (801) 918-4135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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