| Kids Creek Ped. Dentistry | |
|
2964 W 4700 S Ste 103 Taylorsville UT 84129-2558 | |
| (801) 417-8080 | |
| Not Available |
| Full Name | Kids Creek Ped. Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2964 W 4700 S Ste 103, Taylorsville, Utah |
| Authorized Official Name and Position | Samuel B Bailey (OWNER) |
| Authorized Official Contact | 8014178080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Creek Ped. Dentistry 2964 W 4700 S Ste 103 Taylorsville UT 84129-2558 Ph: (801) 417-8080 | Kids Creek Ped. Dentistry 2964 W 4700 S Ste 103 Taylorsville UT 84129-2558 Ph: (801) 417-8080 |
| NPI Number | 1821521485 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821521485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7693653 (Utah) | Primary |
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