Organization
DEER CREEK CHILDRENS DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS WHITE D.M.D. (PRESIDENT)
(435) 828-7500
Entity
Organization
Contact information
Practice address
575 SOUTH 200 EAST, HEBER CITY, UT 84032
(801) 669-1607
Mailing address
575 SOUTH 200 EAST, HEBER CITY, UT 84032
(801) 669-1607
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101772830160
UT
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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