Organization
DIXIE PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT KENDALL CHRISTENSEN DMD (OWNER)
(435) 688-8827
Entity
Organization
Contact information
Practice address
368 E RIVERSIDE DR, BUILDING 6, ST GEORGE, UT 84790-6896
(435) 688-8827
(435) 688-8826
Mailing address
368 E RIVERSIDE DR, BUILDING 6, ST GEORGE, UT 84790-6896
(435) 688-8827
(435) 688-8826
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5336153
UT
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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