Organization
CHILDREN'S CROSSING PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY K RUPP DMD, MS (OWNER)
(801) 635-4143
Entity
Organization
Contact information
Practice address
1528 N COMMERCE DR, SUITE 100, SARATOGA SPRINGS, UT 84045-4032
(801) 766-4900
Mailing address
1528 N COMMERCE DR, SUITE 100, SARATOGA SPRINGS, UT 84045-4032
(801) 766-4900
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5352062
UT
Other
Enumeration date
02/22/2010
Last updated
04/12/2018
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