# MOUNTAIN VIEW PEDIATRIC DENTISTRY OF FARMINGTON

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

## Provider details

- **NPI number:** 1750736377
- **Authorized official:** DR. CAMERON PAUL QUAYLE DDS (OWNER/DOCTOR)
- **Authorized official phone:** (801) 447-5437

## Contact information

- **Practice address:** 991 SHEPARD LANE, STE 100, FARMINGTON, UT 84025-2702
- **Practice address phone:** (801) 447-5437
- **Practice address fax:** (801) 447-4685
- **Mailing address:** 991 SHEPARD LANE, STE 100, FARMINGTON, UT 84025-2702
- **Mailing address phone:** (801) 447-5437
- **Mailing address fax:** (801) 447-4685

## Taxonomy

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

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016
