| Organization Name: | MOUNTAIN VIEW PEDIATRIC DENTISTRY |
| NPI Number: | 1578878443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAMERON QUAYLE (DOCTOR) |
| Mailing Address: | 2719 N Highway 89 Ste 200 Pleasant View |
| State: | UT US |
| Postal Code: | 844046256 |
| Phone Number: | 8017375437 |
| Fax Number: | 8017375452 |
| NPI Enumeration Date: | 08/16/2010 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 5776592-9923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |