Organization
WASATCH PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT VEST DMD (OWNER)
(435) 999-0234
Entity
Organization
Contact information
Practice address
530 W 465 N STE 703, PROVIDENCE, UT 84332-8006
(435) 999-0234
(435) 363-9151
Mailing address
1765 E 2450 N, NORTH LOGAN, UT 84341-4705
(801) 360-8775
(435) 514-1743
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457794315
—
UT
Enumeration date
07/08/2019
Last updated
02/05/2024
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