Organization
CHILDREN'S CORNER PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART D SEGURA D.D.S., M.S.D. (PARTNER)
(801) 769-2530
Entity
Organization
Contact information
Practice address
275 W 200 N STE 175, LINDON, UT 84042-5009
(801) 769-2530
(801) 769-2531
Mailing address
275 W 200 N STE 175, LINDON, UT 84042-5009
(801) 769-2530
(801) 769-2531
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7108173
UT
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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