| Peter C. Knudson Dds, Ms, Pc | |
|
105 Skyline Dr Brigham City UT 84302-3108 | |
| (435) 723-6366 | |
| (435) 723-6371 |
| Full Name | Peter C. Knudson Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 105 Skyline Dr, Brigham City, Utah |
| Authorized Official Name and Position | Peter C Knudson (OWNER) |
| Authorized Official Contact | 4357236366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter C. Knudson Dds, Ms, Pc 105 Skyline Dr Brigham City UT 84302-3108 Ph: (435) 723-6366 | Peter C. Knudson Dds, Ms, Pc 105 Skyline Dr Brigham City UT 84302-3108 Ph: (435) 723-6366 |
| NPI Number | 1326335092 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326335092 | NPI | - | NPPES |
| 529449844016 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Utah) | Primary |
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