# CHILDREN'S CORNER PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023320728
- **Authorized official:** DR. STUART D SEGURA D.D.S., M.S.D. (PARTNER)
- **Authorized official phone:** (801) 769-2530

## Contact information

- **Practice address:** 275 W 200 N STE 175, LINDON, UT 84042-5009
- **Practice address phone:** (801) 769-2530
- **Practice address fax:** (801) 769-2531
- **Mailing address:** 275 W 200 N STE 175, LINDON, UT 84042-5009
- **Mailing address phone:** (801) 769-2530
- **Mailing address fax:** (801) 769-2531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 7108173 | UT | Yes |

## Other

- **Enumeration date:** 07/09/2010
- **Last updated:** 07/09/2010