| Kids Dental Barn | |
|
3688 Campus Dr Ste 220 Eagle Mountain UT 84005-4669 | |
| (801) 341-7999 | |
| Not Available |
| Full Name | Kids Dental Barn |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3688 Campus Dr Ste 220, Eagle Mountain, Utah |
| Authorized Official Name and Position | Eric Martin (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 8016768899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Barn 3688 Campus Dr Ste 220 Eagle Mountain UT 84005-4669 | Kids Dental Barn 3688 Campus Dr Ste 220 Eagle Mountain UT 84005-4669 Ph: (801) 341-7999 |
| NPI Number | 1447549837 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447549837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49554449923 (Utah) | Primary |
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