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Organization

CHILDREN'S DENTAL OF CEDAR CITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEREMY JACK SCHOLZEN DMD (DOCTOR / OWNER)
(435) 586-6555
Entity
Organization

Contact information

Practice address
1321 S PROVIDENCE CENTER DR, CEDAR CITY, UT 84720-7985
(435) 586-6555
(435) 586-6602
Mailing address
201 S 700 W, HURRICANE, UT 84737-2423
(435) 586-6555
(435) 586-6602

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6329558-9923
UT

Other

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