# CHILDREN'S LANDING PEDIATRIC DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Landing Pediatric Dentistry, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609438357
- **Authorized official:** MICHAEL C TEW DDS (OWNER)
- **Authorized official phone:** (801) 282-1802

## Contact information

- **Practice address:** 3855 W 7800 S STE 200, WEST JORDAN, UT 84088-5563
- **Practice address phone:** (801) 282-1802
- **Practice address fax:** (801) 282-6244
- **Mailing address:** 3855 W 7800 S STE 200, WEST JORDAN, UT 84088-5563
- **Mailing address phone:** (801) 282-1802
- **Mailing address fax:** (801) 282-6244

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 07/02/2019