# MOUNTAIN VIEW PEDIATRIC DENTISTRY OF NORTH SALT LAKE PC

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

## Provider details

- **NPI number:** 1619327699
- **Authorized official:** CAMERON QUAYLE DDS (DOCTOR/OWNER)
- **Authorized official phone:** (801) 292-5437

## Contact information

- **Practice address:** 420 N REDWOOD RD UNIT D, NORTH SALT LAKE, UT 84054-2810
- **Practice address phone:** (801) 292-5437
- **Mailing address:** 420 NORTH REDWOOD ROAD, UNIT D, NORTH SALT LAKE, UT 84054-2810

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2016
- **Last updated:** 06/21/2016