Organization
CHILDREN'S LANDING PEDIATRIC DENTISTRY, PC
Active
Other names
Children's Landing Pediatric Dentistry, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C TEW DDS (OWNER)
(801) 282-1802
Entity
Organization
Contact information
Practice address
3855 W 7800 S STE 200, WEST JORDAN, UT 84088-5563
(801) 282-1802
(801) 282-6244
Mailing address
3855 W 7800 S STE 200, WEST JORDAN, UT 84088-5563
(801) 282-1802
(801) 282-6244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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