Organization
DR. DOUG'S PEDIATRIC DENTISTRY P.C.
Active
Other names
Small Smiles Pediatric Dentistry P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH DOUGLAS FRYER D.D.S., M.S (PRESIDENT)
(435) 792-3033
Entity
Organization
Contact information
Practice address
1300 N 200 E, SUITE102, LOGAN, UT 84341-2398
(435) 232-9721
(435) 792-3033
Mailing address
1300 N 200 E, SUITE102, LOGAN, UT 84341-2398
(435) 232-9721
(435) 792-3033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
285140-9923
UT
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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