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Cache Valley Pediatric Dentistry
Dental Clinic/Center in Logan, Utah
NPI 1962282459

Cache Valley Pediatric Dentistry is a Dental Clinic/Center based in Logan, UT and is specialized in Dental. Cache Valley Pediatric Dentistry practices in Logan, UT. The NPI Number for Cache Valley Pediatric Dentistry is 1962282459 and holds a License No. (Utah).

The current practice location address for Cache Valley Pediatric Dentistry is 1624 N 200 E Ste 100, Logan, UT and can be reached out via phone at 435-752-4330 and via fax at 435-752-6330.

Location: 1624 N 200 E Ste 100, Logan, UT, 84341-3141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962282459
Provider Name
Cache Valley Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
1624 N 200 E Ste 100, Logan, UT, 84341-3141
Phone Number
435-752-4330
Fax Number
435-752-6330
Provider Enumeration Date
10/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1624 N 200 E Ste 100
City
Logan
State
Utah
Zip
84341-3141
Phone Number
435-752-4330
Fax Number
435-752-6330
person
Provider Business Mailing Address Details
Address
1624 N 200 E Ste 100
City
Logan
State
Utah
Zip
84341-3141
Phone Number
435-752-4330
Fax Number
435-752-6330
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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