| Ivory Ridge Pediatric Dentistry | |
|
3401 N Center Street Lehi UT 84043-0000 | |
| (801) 918-4135 | |
| Not Available |
| Full Name | Ivory Ridge Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3401 N Center Street, Lehi, Utah |
| Authorized Official Name and Position | Marci Nicol (VP OF OPERATIONS) |
| Authorized Official Contact | 8019184135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivory Ridge Pediatric Dentistry 3401 North Center Street Lehi UT 84043-0000 Ph: () - | Ivory Ridge Pediatric Dentistry 3401 N Center Street Lehi UT 84043-0000 Ph: (801) 918-4135 |
| NPI Number | 1720466303 |
|---|---|
| Provider Enumeration Date | 05/14/2015 |
| Last Update Date | 05/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720466303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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