| Lone Peak Pediatric Dentistry | |
|
1030 E 11400 S Suite #101 Sandy UT 84094-6902 | |
| (801) 553-8882 | |
| Not Available |
| Full Name | Lone Peak Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1030 E 11400 S, Sandy, 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 |
|---|---|
| Lone Peak Pediatric Dentistry 1030 E 11400 S Suite #101 Sandy UT 84094-6902 Ph: (801) 553-8882 | Lone Peak Pediatric Dentistry 1030 E 11400 S Suite #101 Sandy UT 84094-6902 Ph: (801) 553-8882 |
| NPI Number | 1013338912 |
|---|---|
| Provider Enumeration Date | 12/18/2013 |
| Last Update Date | 12/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013338912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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