Wasatch Kids Pediatric Dentistry, LLC
NPI #1689333908 in Taylorsville, Utah
Provider Information
- NPI Number
- 1689333908
- Entity Type
- Organization
- Organization Name
- Wasatch Kids Pediatric Dentistry, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 14, 2021
- Last Updated
- Nov 28, 2022
Practice Location
- Address
- 6151 SOUTH REDWOOD ROAD
- Address 2
- STE. 200
- City
- Taylorsville
- State
- Utah
- ZIP Code
- 84123-5332
- Phone
- (801) 441-2144
Authorized Official
- Name
- JOHANNA EILEEN WEBSTER
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (801) 414-1163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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