Dixie Pediatric Dental

NPI 1164837621 - Dentist - 1223P0221X

NPI Details
NPI 1164837621
Enumeration Date 06/24/2014
Last Updated 06/24/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRETT KENDALL BRETT
Position OWNER
Phone (435) 688-8827
Fax (435) 688-8826
Practice Location
368 E RIVERSIDE DR
BUILDING 6
ST GEORGE UT, 84790-6896, US
Phone (435) 688-8827
Fax (435) 688-8826
Business Location
368 E RIVERSIDE DR
BUILDING 6
ST GEORGE UT, 84790-6896, US
Phone (435) 688-8827
Fax (435) 688-8826
Toxanomy
Taxonomy Code 1223P0221X
License State Utah
License Number 5336153
Remove 1164837621 NPI Number
 

According to our database, Dixie Pediatric Dental NPI is 1164837621, taxonomy code is 1223P0221X and license number is 5336153, license state is located at Utah. Dixie Pediatric Dental physically located at 368 E Riverside Dr, St George UT, 84790-6896. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1164837621 NPI number is provided on an as is basis without warranty of any kind. 1164837621 is maintained by the National Plan & Provider Enumeration System. The contents of Dixie Pediatric Dental are for informational purposes only.