Abc Pediatric Dentistry, PC
NPI #1992119390 in Providence, Utah
Provider Information
- NPI Number
- 1992119390
- Entity Type
- Organization
- Organization Name
- Abc Pediatric Dentistry, PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 13, 2014
- Last Updated
- Feb 19, 2018
Practice Location
- Address
- 65 N GATEWAY DR STE 1
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-6102
- Phone
- (435) 787-2223
Authorized Official
- Name
- DR. STANTON C. ALLEN, DDS.
- Title
- OWNER
- Phone
- (435) 787-2223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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