| Red Pine Dental | |
|
3550 S 5600 W Ste 3 West Valley UT 84120-2778 | |
| (801) 966-3166 | |
| Not Available |
| Full Name | Red Pine Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3550 S 5600 W Ste 3, West Valley, Utah |
| Authorized Official Name and Position | David Jackson (OWNER) |
| Authorized Official Contact | 8019663166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Pine Dental 3550 S 5600 W Ste 3 West Valley UT 84120-2778 Ph: (801) 966-3166 | Red Pine Dental 3550 S 5600 W Ste 3 West Valley UT 84120-2778 Ph: (801) 966-3166 |
| NPI Number | 1992384366 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992384366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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