DENTISTRY FOR CHILDREN WEST VALLEY PC NPI 1922308618

NPI Information

DENTISTRY FOR CHILDREN WEST VALLEY PC is a dental clinic center in West Valley, UT. DENTISTRY FOR CHILDREN WEST VALLEY PC NPI is 1922308618. The provider is registered as an organization entity type.

The provider's business location address is:

3540 S 4000 W STE 440
WEST VALLEY, UT
ZIP 84120-295
Phone: (801) 955-5200
Fax: (801) 955-1707

The provider's authorized official is Nancy L Davila .
The authorized official title is Office Manager and has the following contact phone number (801) 955-5200.

The enumeration date for this NPI number is 10/27/2010 and was last updated on 10/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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