Rose Park Pediatric Dentistry, PC
Rose Park Pediatric Dentistry, PC provides Pediatric Dentistry in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2009.
- Licensed in
- UT
- In the registry since
- 2009
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
55 N Redwood Rd Ste BSalt Lake City, UT 84116-3174 Not confirmed with CMS for 17 years — call before visiting
Phone: (801) 519-2222
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 49534949923 (UT) |
|---|
Record details
| NPI number | 1831338623 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | 49534949923 |
| Authorized official | Richard Johansen — Owner · (801) 519-2222 |
| NPI enumerated | February 18, 2009 |
| Last updated in NPPES | February 18, 2009 |
| Mailing address | 55 N Redwood Rd Ste B, Salt Lake City, UT 84116-3174 |
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