Organization · Type 2 NPI
Pony Express Dental LLC
Dental Clinic/Center · Eagle Mountain, UT
NPI number
1609315480
Active
Practice location
1308 E. Eagle Mountain Blvd
Eagle Mountain, UT 84005
Mailing address
219 E 12300 S, Suite I-5
Draper, UT 84020-6970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 5015649 (UT) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Eagle Mountain
About NPI 1609315480
Pony Express Dental LLC's National Provider Identifier is 1609315480, issued on Feb 14, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Eagle Mountain, UT. The record was last updated on Mar 16, 2017.