Organization · Type 2 NPI
Eagle Mountain Children's Dentistry PLLC
Dental Clinic/Center · Eagle Mountain, UT
NPI number
1922573856
Active
Practice location
3435 Pony Express Parkway Ste. 130
Eagle Mountain, UT 84005
Mailing address
10011 S Centennial Pkwy Ste 250
Sandy, UT 84070-4121
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 Eagle Mountain
About NPI 1922573856
Eagle Mountain Children's Dentistry PLLC's National Provider Identifier is 1922573856, issued on Oct 8, 2018. 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 Oct 8, 2018.