Red Pine Dental
NPI #1992384366 in West Valley, Utah
Provider Information
- NPI Number
- 1992384366
- Entity Type
- Organization
- Organization Name
- Red Pine Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 5, 2021
- Last Updated
- Apr 5, 2021
Practice Location
- Address
- 3550 S 5600 W STE 3
- City
- West Valley
- State
- Utah
- ZIP Code
- 84120-2778
- Phone
- (801) 966-3166
Authorized Official
- Name
- DAVID JACKSON, DDS
- Title
- OWNER
- Phone
- (801) 966-3166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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