Organization
KIDS TOWN PEDIATRIC DENTISTRY, PLLC
Active
Other names
Kids Town Pediatric Dentistry Roy
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE ORTON (FINANCIAL MANAGER)
(801) 217-3359
Entity
Organization
Contact information
Practice address
3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
(801) 217-3359
(801) 217-3950
Mailing address
3540 W 6000 S, SUITE 200, ROY, UT 84067-9071
(801) 217-3359
(801) 217-3950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6348475
UT
Other
Enumeration date
09/19/2016
Last updated
09/20/2016
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