Organization
ADVENTURE DENTAL
Active
Other names
Hidden Valley Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE C HUFFMAN (BILLING MANAGER)
(801) 495-1610
Entity
Organization
Contact information
Practice address
114 E 12450 S, SUITE 200, DRAPER, UT 84020
(801) 495-1610
(801) 495-1631
Mailing address
PO BOX 830, DRAPER, UT 84020
(801) 495-1610
(801) 495-1631
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
342300
UT
1223P0221X
Pediatric Dentistry
Primary
5832460
UT
Other
Enumeration date
08/04/2006
Last updated
06/16/2008
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