NPI 1083921704

Mountain View Pediatric Dentistry of Layton

Organisation Dental Clinic/Center Layton, UT

Practice location

Address: 195 E Gentile St Suite #11, Layton, UT 84041-3754
Phone: (801) 779-2900

Authorised official

Name: Brett Packham
Title: Managing Member
Phone: (801) 779-2900

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 6362621-9922 (UT)

Other Clinic/Center providers in Utah →

Registry record

NPI: 1083921704
Entity type: Organization
NPI issued: 1 Sep 2010
Record last updated: 1 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.