Organization · Type 2 NPI
Cache Valley Pediatric Dentistry
Dental Clinic/Center · Logan, UT
NPI number
1962282459
Active
Practice location
1624 N 200 E Ste 100
Logan, UT 84341-3141
Fax (435) 752-6330
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1962282459
Cache Valley Pediatric Dentistry's National Provider Identifier is 1962282459, issued on Oct 2, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Logan, UT. The record was last updated on Oct 2, 2023.