Organization
MOUNTAIN VIEW DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KASE PEERY (OWNER)
(801) 969-8200
Entity
Organization
Contact information
Practice address
6783 S REDWOOD RD, WEST JORDAN, UT 84084-5677
(801) 969-8200
Mailing address
6783 S REDWOOD RD, WEST JORDAN, UT 84084-5677
(801) 969-8200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
130519-9922
UT
1223G0001X
General Practice Dentistry
Primary
135611-9922
UT
1223P0221X
Pediatric Dentistry
7579613-9923
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
317724-9922
UT
Other
Enumeration date
12/23/2015
Last updated
03/23/2016
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