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Organization
MOUNTAIN VIEW PEDIATRIC DENTISTRY OF NORTH SALT LAKE PC
Active
Organization
MOUNTAIN VIEW PEDIATRIC DENTISTRY OF NORTH SALT LAKE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON QUAYLE DDS (DOCTOR/OWNER)
(801) 292-5437
Entity
Organization
Contact information
Practice address
420 N REDWOOD RD UNIT D, NORTH SALT LAKE, UT 84054-2810
(801) 292-5437
Mailing address
420 NORTH REDWOOD ROAD, UNIT D, NORTH SALT LAKE, UT 84054-2810
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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