# HIDDEN VALLEY PEDIATRIC DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adventure Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841475456
- **Authorized official:** DR. BRENT CARL DEHART D.D.S. (OWNER)
- **Authorized official phone:** (801) 495-1610

## Contact information

- **Practice address:** 114 E 12450 S STE 200, DRAPER, UT 84020-8060
- **Practice address phone:** (801) 495-1610
- **Practice address fax:** (801) 495-1631
- **Mailing address:** 114 E 12450 S STE 200, DRAPER, UT 84020-8060
- **Mailing address phone:** (801) 495-1610
- **Mailing address fax:** (801) 495-1631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 02/13/2008