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1184045049
VINE STREET PEDIATRIC DENTISTRY
MURRAY, UT
NPI
1184045049
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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
2013-12-19
Last Update Date
2013-12-19
Business Address
VINE STREET PEDIATRIC DENTISTRY
678 E VINE ST SUITE #12
MURRAY, UT 84107-5546
Phone number: 801-268-1135
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Mailing Address
VINE STREET PEDIATRIC DENTISTRY
678 E VINE ST SUITE #12
MURRAY, UT 84107-5546
Phone number: 801-268-1135
Copy
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