| Mountain View Pediatric Dentistry Of Layton | |
|
195 E Gentile St Suite #11 Layton UT 84041-3754 | |
| (801) 779-2900 | |
| Not Available |
| Full Name | Mountain View Pediatric Dentistry Of Layton |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 195 E Gentile St, Layton, Utah |
| Authorized Official Name and Position | Brett Packham (MANAGING MEMBER) |
| Authorized Official Contact | 8017792900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Pediatric Dentistry Of Layton 195 E Gentile St Suite #11 Layton UT 84041-3754 Ph: (801) 779-2900 | Mountain View Pediatric Dentistry Of Layton 195 E Gentile St Suite #11 Layton UT 84041-3754 Ph: (801) 779-2900 |
| NPI Number | 1083921704 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083921704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6362621-9922 (Utah) | Primary |
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Brent H. Craven, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1133 N Main St, Layton, UT 84041 Phone: 801-546-0931 | |
David L Cameron, Dmd, Ms, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 N Church St Ste 302, Layton, UT 84040 Phone: 801-544-1184 | |
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Jackson Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1868 N 400 W Ste 110, Layton, UT 84041 Phone: 801-774-8198 Fax: 801-774-8191 | |
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