Individual
DR. DANIELLE PAIGE WINGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-2202
Mailing address
1060 FREMONT RD, BOUNTIFUL, UT 84010-1413
(319) 290-7255
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
08295
IA
1223E0200X
Endodontics
Primary
12600945-9921
UT
1223E0200X
Endodontics
30-022494
OH
1223E0200X
Endodontics
D10911
OR
1223G0001X
General Practice Dentistry
08295
IA
Other
Enumeration date
08/09/2005
Last updated
04/14/2022
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