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Organization
NORTH DAVIS PEDIATRIC DENTISTRY LLC
Active
Organization
NORTH DAVIS PEDIATRIC DENTISTRY LLC
Active
Other names
North Davis Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HORGESHEIMER (OWNER)
(801) 919-8880
Entity
Organization
Contact information
Practice address
1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650
(801) 919-8880
Mailing address
1792 W 1700 S STE 101, SYRACUSE, UT 84075-9650
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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