| Big Kahuna Dental, Llc Dba Aloha Dental | |
|
2792 S 5600 W West Valley City UT 84120-5590 | |
| (801) 969-9669 | |
| (801) 969-9779 |
| Full Name | Big Kahuna Dental, Llc Dba Aloha Dental |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2792 S 5600 W, West Valley City, Utah |
| Authorized Official Name and Position | Kase Peery (BUSINESS MANAGER) |
| Authorized Official Contact | 8019699669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Kahuna Dental, Llc Dba Aloha Dental 2792 S 5600 W West Valley City UT 84120-5590 Ph: (801) 969-9669 | Big Kahuna Dental, Llc Dba Aloha Dental 2792 S 5600 W West Valley City UT 84120-5590 Ph: (801) 969-9669 |
| NPI Number | 1073928305 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 03/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073928305 | NPI | - | NPPES |
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