Lehi Pediatric Dentistry | |
216 E Main St Suite #3 Lehi UT 84043-2231 | |
(801) 768-0541 | |
(801) 768-0541 |
Full Name | Lehi Pediatric Dentistry |
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Speciality | Clinic/center - Dental |
Location | 216 E Main St, Lehi, Utah |
Authorized Official Name and Position | Hans Christian Petersen (DR.) |
Authorized Official Contact | 8017665557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lehi Pediatric Dentistry 216 E Main St. Suite #3 Lehi UT 84043-2231 Ph: (801) 768-0541 | Lehi Pediatric Dentistry 216 E Main St Suite #3 Lehi UT 84043-2231 Ph: (801) 768-0541 |
NPI Number | 1558663120 |
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Provider Enumeration Date | 12/02/2010 |
Last Update Date | 12/02/2010 |
Identifier | Type | State | Issuer |
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1558663120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 5323980-9922 (Utah) | Primary |
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