Orchard Drive Pediatric Dentistry

NPI #1770904674 in Bountiful, Utah

Provider Information

NPI Number
1770904674
Entity Type
Organization
Organization Name
Orchard Drive Pediatric Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 18, 2013
Last Updated
Dec 18, 2013

Practice Location

Address
3377 ORCHARD DR
State
Utah
ZIP Code
84010-8005
Phone
(801) 951-8038

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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