| Cottonwood Pediatric Dental | |
|
7050 S 2000 E # 110 Salt Lake City UT 84121-3749 | |
| (801) 943-3233 | |
| (801) 943-3286 |
| Full Name | Cottonwood Pediatric Dental |
|---|---|
| Speciality | Dentist |
| Location | 7050 S 2000 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Trisha R Taylor (OWNER) |
| Authorized Official Contact | 4358401025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Pediatric Dental 7050 S 2000 E 110 Salt Lake City UT 84121-3749 Ph: (801) 943-3233 | Cottonwood Pediatric Dental 7050 S 2000 E # 110 Salt Lake City UT 84121-3749 Ph: (801) 943-3233 |
| NPI Number | 1609182641 |
|---|---|
| Provider Enumeration Date | 08/27/2010 |
| Last Update Date | 08/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609182641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1367609922 (Utah) | Secondary |
| 122300000X | Dentist | 47532089923 (Utah) | Primary |
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