Organization
ST GEORGE KIDS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT PRYOR DMD (MEMBER)
(208) 329-4580
Entity
Organization
Contact information
Practice address
446 S MALL DR UNIT 100, ST GEORGE, UT 84790-4944
(208) 329-4580
Mailing address
446 S MALL DR UNIT 100, ST GEORGE, UT 84790-4944
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8669834-9923
UT
Other
Enumeration date
03/01/2014
Last updated
08/11/2014
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