RED PINE DENTAL NPI 1992384366

NPI Information

RED PINE DENTAL is a dental clinic center in West Valley, UT. RED PINE DENTAL NPI is 1992384366. The provider is registered as an organization entity type.

The provider's business location address is:

3550 S 5600 W STE 3
WEST VALLEY, UT
ZIP 84120-778
Phone: (801) 966-3166

The provider's authorized official is David Jackson .
The authorized official title is Owner and has the following contact phone number (801) 966-3166.

The enumeration date for this NPI number is 4/5/2021 and was last updated on 4/5/2021.

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:

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