# RED CLIFF PEDIATRIC DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Johnson Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265267355
- **Authorized official:** DUSTI FARR (OFFICE MANAGER)
- **Authorized official phone:** (435) 215-9540

## Contact information

- **Practice address:** 826 S 3000 E STE 1, SAINT GEORGE, UT 84790-1823
- **Practice address phone:** (435) 628-0511
- **Mailing address:** 826 S 3000 E STE 1, SAINT GEORGE, UT 84790-1823
- **Mailing address phone:** (435) 628-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2024
- **Last updated:** 10/16/2024