Paige Holbrook
Dentist, Dental Public Health in Taylorsville, UT. Individual provider (NPI-1).
NPI number1164050860
StatusActive
Last updated in NPPESOct 28, 2021
Details
- NPI
- 1164050860
- Entity type
- Individual (NPI-1)
- Name
- Paige Holbrook
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2020
- Certification date
- Oct 28, 2021
- Last updated
- Oct 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | 1222527 | UT | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
4745 S 3200 WTaylorsville, UT 84129-2822
Phone 801-964-6214
Mailing address
530 S Wakara WaySalt Lake City, UT 84108-1213
Phone 801-587-2162
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