Organization
KDB, LLC
Active
Parent organization
ERIC E. MARTIN, DDS, PC
Other names
Kids Dental Barn
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERIC E. MARTIN, DDS, PC
Authorized official
ERIC MARTIN DDS (PRESIDENT/PEDIATRIC DENTIST)
(801) 676-8899
Entity
Organization
Contact information
Practice address
3688 CAMPUS DR STE 220, EAGLE MOUNTAIN, UT 84005-4669
(801) 341-7999
Mailing address
3688 CAMPUS DR STE 220, EAGLE MOUNTAIN, UT 84005-4669
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49554449923
UT
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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