Organization · Type 2 NPI
Vine Street Pediatric Dentistry
Pediatric Dentistry · Murray, UT
NPI number
1962609644
Active
Practice location
678 E Vine St, Suite #12
Murray, UT 84107-5546
Fax (801) 685-7630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
Other pediatric dentistry providers in Murray
About NPI 1962609644
Vine Street Pediatric Dentistry's National Provider Identifier is 1962609644, issued on Jun 27, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Murray, UT. The record was last updated on Aug 22, 2020.