Organization · Type 2 NPI
Eastgate Pediatric Dentistry
Dental Clinic/Center · Slc, UT
NPI number
1629499520
Active
Practice location
1580 E 3900 S, Suite #110
Slc, UT 84124-1581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Slc
About NPI 1629499520
Eastgate Pediatric Dentistry's National Provider Identifier is 1629499520, issued on Dec 18, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Slc, UT. The record was last updated on Dec 18, 2013.