Bighorn Pediatric Dentistry Llc

NPI 1013289966 - Clinic/Center - 261QD0000X

NPI Details
NPI 1013289966
Enumeration Date 02/07/2012
Last Updated 02/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID GLENN DAVID
Position PEDIATRIC DENTIST
Phone (801) 268-4361
Fax
Practice Location
4838 S 1115 E
SALT LAKE CITY UT, 84117-5881, US
Phone (801) 268-4361
Fax
Business Location
4838 S 1115 E
SALT LAKE CITY UT, 84117-5881, US
Phone (801) 268-4361
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Utah
License Number 7693560
Remove 1013289966 NPI Number
 

According to our database, Bighorn Pediatric Dentistry Llc NPI is 1013289966, taxonomy code is 261QD0000X and license number is 7693560, license state is located at Utah. Bighorn Pediatric Dentistry Llc physically located at 4838 S 1115 E, Salt Lake City UT, 84117-5881. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013289966 NPI number is provided on an as is basis without warranty of any kind. 1013289966 is maintained by the National Plan & Provider Enumeration System. The contents of Bighorn Pediatric Dentistry Llc are for informational purposes only.