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Organization
MOUNTAIN VIEW PEDIATRIC DENTISTRY OF LAYTON
Active
Organization
MOUNTAIN VIEW PEDIATRIC DENTISTRY OF LAYTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT PACKHAM DDS (MANAGING MEMBER)
(801) 779-2900
Entity
Organization
Contact information
Practice address
195 E GENTILE ST, SUITE #11, LAYTON, UT 84041-3754
(801) 779-2900
Mailing address
195 E GENTILE ST, SUITE #11, LAYTON, UT 84041-3754
(801) 779-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6362621-9922
UT
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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