Organization
WASATCH KIDS PEDIATRIC DENTISTRY, LLC
Active
Other names
Salt Lake Pediatric Dentistry, SLPD Taylorsville, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA EILEEN WEBSTER (DIRECTOR OF OPERATIONS)
(801) 414-1163
Entity
Organization
Contact information
Practice address
6151 SOUTH REDWOOD ROAD, STE. 200, TAYLORSVILLE, UT 84123-5332
(801) 441-2144
(801) 278-0481
Mailing address
6151 SOUTH REDWOOD ROAD, STE. 200, TAYLORSVILLE, UT 84123-5332
(801) 441-2144
(801) 278-0481
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
11/28/2022
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