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Organization

SMALL SMILES PEDIATRIC DENTISTRY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY JEAN FRYER (OFFICE MANAGER)
(435) 792-3033
Entity
Organization

Contact information

Practice address
1300 N 200 E, SUITE 102, LOGAN, UT 84341-2398
(435) 792-3033
(435) 792-3233
Mailing address
1300 N 200 E, SUITE 102, LOGAN, UT 84341-2398
(435) 792-3033
(435) 792-3233

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
285140-9923
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
529376727002
UT
Enumeration date
05/08/2007
Last updated
08/22/2020
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