Reading Pediatric Dentistry Pllc

NPI 1144597691 - Clinic/Center - 261QD0000X

NPI Details
NPI 1144597691
Enumeration Date 11/29/2011
Last Updated 11/29/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TYLER S TYLER
Position MEMBER OF PLLC
Phone (801) 282-6901
Fax
Practice Location
3895 W 7800 S
#203
WEST JORDAN UT, 84088-4314, US
Phone (801) 282-6901
Fax
Business Location
3895 W 7800 S
#203
WEST JORDAN UT, 84088-4314, US
Phone (801) 282-6901
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Utah
License Number 8119870162
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According to our database, Reading Pediatric Dentistry Pllc NPI is 1144597691, taxonomy code is 261QD0000X and license number is 8119870162, license state is located at Utah. Reading Pediatric Dentistry Pllc physically located at 3895 W 7800 S, West Jordan UT, 84088-4314. NPI Number 1033115704 has the healthcare provider type.

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1144597691 NPI number is provided on an as is basis without warranty of any kind. 1144597691 is maintained by the National Plan & Provider Enumeration System. The contents of Reading Pediatric Dentistry Pllc are for informational purposes only.