White Dome Pediatric Dental LLC
NPI #1780480665 in Saint George, Utah
Provider Information
- NPI Number
- 1780480665
- Entity Type
- Organization
- Organization Name
- White Dome Pediatric Dental LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 21, 2025
- Last Updated
- Feb 21, 2025
Practice Location
- Address
- 6025 S. RIVER RD. BLDG B STE 3
- City
- Saint George
- State
- Utah
- ZIP Code
- 84790
- Phone
- (435) 628-0511
Authorized Official
- Name
- CODY JOHNSON, DMD
- Title
- OWNER
- Phone
- (435) 628-0511
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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