Organization · Type 2 NPI
Pony Express Dental of Draper, LLC
Dental Clinic/Center · Draper, UT
NPI number
1306380084
Active
Practice location
219 E 12300 S, Suite I-5
Draper, UT 84020-6970
Fax (801) 495-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5015649-9923 (UT) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Draper
About NPI 1306380084
Pony Express Dental of Draper, LLC's National Provider Identifier is 1306380084, issued on Dec 14, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Draper, UT. The record was last updated on Dec 14, 2016.