# NEON KIDS DENTAL PLLC

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

## Provider details

- **NPI number:** 1376277137
- **Authorized official:** AMANDS SALAZAR (BILLING)
- **Authorized official phone:** (505) 592-0482

## Contact information

- **Practice address:** 1091 N BLUFF ST STE 550, ST GEORGE, UT 84770-5775
- **Practice address phone:** (505) 592-0482
- **Mailing address:** 4760 N BUTLER AVE STE A, FARMINGTON, NM 87401-0816

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2022
- **Last updated:** 08/01/2022