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Organization
KIDS TOWN PEDIATRIC DENTISTRY, PLLC
Active
Organization
KIDS TOWN PEDIATRIC DENTISTRY, PLLC
Active
Other names
Kids Town Pediatric Dentistry Roy
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE ORTON (FINANCIAL MANAGER)
(801) 217-3359
Entity
Organization
Contact information
Practice address
3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
(801) 217-3359
(801) 217-3950
Mailing address
3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
(801) 217-3359
(801) 217-3950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6348475
UT
Other
Enumeration date
09/19/2016
Last updated
09/20/2016
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