| Kaleidoscope Pediatric Dentistry | |
|
5417 South Commerse Drive Suite 200 Murray UT 84107 | |
| (435) 655-5003 | |
| Not Available |
| Full Name | Kaleidoscope Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5417 South Commerse Drive Suite 200, Murray, Utah |
| Authorized Official Name and Position | Ari M Hobfoll (OWNER) |
| Authorized Official Contact | 4356555003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaleidoscope Pediatric Dentistry 2797 E Willow Hills Dr Sandy UT 84093-1933 | Kaleidoscope Pediatric Dentistry 5417 South Commerse Drive Suite 200 Murray UT 84107 Ph: (435) 655-5003 |
| NPI Number | 1154904134 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154904134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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