Eastgate Pediatric Dentistry

NPI #1629499520 in Slc, Utah

Provider Information

NPI Number
1629499520
Entity Type
Organization
Organization Name
Eastgate Pediatric Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 18, 2013
Last Updated
Dec 18, 2013

Practice Location

Address
1580 E 3900 S
Address 2
SUITE #110
City
Slc
State
Utah
ZIP Code
84124-1581
Phone
(801) 272-8555

Authorized Official

Name
MARCI NICOL
Title
VP OF OPERATIONS
Phone
(801) 918-4135

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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