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1154742054
STANSBURY PEDIATRIC DENTISTRY
STANSBURY PARK, UT
NPI
1154742054
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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
STANSBURY PEDIATRIC DENTISTRY
220 MILLPOND SUITE #107
STANSBURY PARK, UT 84074-9745
Phone number: 435-843-5437
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Mailing Address
STANSBURY PEDIATRIC DENTISTRY
220 MILLPOND SUITE #107
STANSBURY PARK, UT 84074-9745
Phone number: 435-843-5437
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