| NPI | 1366243362 |
|---|---|
| Doing Business As | SOUTHEAST PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRETT CHRISTENSEN Owner/Doctor 435-669-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-26 |