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Organization

SANDY SHORES PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES HENRY BEKKER DMD (DENTIST)
(801) 571-5800
Entity
Organization

Contact information

Practice address
1434 E. 9400 S. #205, SANDY, UT 84092
(801) 571-5800
Mailing address
1434 E. 9400 S. #205, SANDY, UT 84092
(801) 571-5800
(801) 571-5522

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
142542
UT
122300000X
Dentist
8320347
UT

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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