Stansbury Park Pediatric Dentistry
NPI #1487295218 in Stansbury Park, Utah
Provider Information
- NPI Number
- 1487295218
- Entity Type
- Organization
- Organization Name
- Stansbury Park Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 2, 2019
- Last Updated
- Oct 2, 2019
Practice Location
- Address
- 263 COUNTRY CLB STE 102
- City
- Stansbury Park
- State
- Utah
- ZIP Code
- 84074-9602
- Phone
- (435) 580-8800
Authorized Official
- Name
- ALISHA SHIGLEY
- Title
- OFFICE MANAGER
- Phone
- (435) 580-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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