institution
Eagle Mountain Children's Dentistry Pllc
Dental Clinic/Center in Eagle Mountain, Utah
NPI 1922573856

Eagle Mountain Children's Dentistry Pllc is a Dental Clinic/Center based in Sandy, UT and is specialized in Dental. Eagle Mountain Children's Dentistry Pllc practices in Eagle Mountain, UT. The NPI Number for Eagle Mountain Children's Dentistry Pllc is 1922573856 and holds a License No. (Utah).

The current practice location address for Eagle Mountain Children's Dentistry Pllc is 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT and can be reached out via phone at 801-562-2222.

Location: 3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT, 84070-4121
institution
Provider Profile Details
NPI Number
1922573856
Provider Name
Eagle Mountain Children's Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
3435 Pony Express Parkway Ste. 130, Eagle Mountain, UT, 84070-4121
Phone Number
801-562-2222
Fax Number
Provider Enumeration Date
10/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
529313580002 05 UT
institution
Provider Business Practice Location Address Details
Address
3435 Pony Express Parkway Ste. 130
City
State
Zip
84005
Phone Number
801-562-2222
Fax Number
person
Provider Business Mailing Address Details
Address
3435 Pony Express Parkway Ste. 130
City
State
Zip
84005
Phone Number
801-562-2222
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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