Cache Valley Pediatric Dentistry

NPI #1962282459 in Logan, Utah

Provider Information

NPI Number: 1962282459
Entity Type: Organization
Organization Name: Cache Valley Pediatric Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 2, 2023
Last Updated: Oct 2, 2023

Practice Location

Address: 1624 N 200 E STE 100
City: Logan
State: Utah
ZIP Code: 84341-3141
Phone: (435) 752-4330

Authorized Official

Name: TORI GIBBS
Title: OFFICE MANAGER
Phone: (435) 752-4330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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