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Organization
ROY PEDIATRIC DENTISTRY LLC DBA WEE CARE PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization
ROY PEDIATRIC DENTISTRY LLC DBA WEE CARE PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONIE GONZALES DDS (DENTAL PROVIDER)
(505) 850-3769
Entity
Organization
Contact information
Practice address
5682 S 3500 W UNIT A, ROY, UT 84067-9108
(801) 773-8644
(801) 773-9828
Mailing address
5682 S 3500 W UNIT A, ROY, UT 84067-9108
(801) 773-8644
(801) 773-9828
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
NULL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/30/2025
Last updated
09/09/2026
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