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1013338912
LONE PEAK PEDIATRIC DENTISTRY
SANDY, UT
NPI
1013338912
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Entity Type
Organization
Authorized Contact
MARCI NICOL
VP Of Operations
801-918-4135
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2013-12-18
Last Update Date
2013-12-18
Business Address
LONE PEAK PEDIATRIC DENTISTRY
1030 E 11400 S SUITE #101
SANDY, UT 84094-6902
Phone number: 801-553-8882
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Mailing Address
LONE PEAK PEDIATRIC DENTISTRY
1030 E 11400 S SUITE #101
SANDY, UT 84094-6902
Phone number: 801-553-8882
Copy
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