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NPI 1356260269

NPI 1356260269 : RAINBOW KIDS PEDIATRIC DENTISTRY : SANDY, UT

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General NPI Number Information
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    NPI Number           |    1356260269
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAINBOW KIDS PEDIATRIC DENTISTRY 
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Dates
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    Enumeration Date     |    07/14/2026
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    Last Update Date     |    07/14/2026
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Provider Practice Location Address
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    Address Line         |    8327 S STATE STREET 
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    City                 |    SANDY
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    State                |    UT
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    Zip                  |    84070
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    Country              |    US
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    Telephone            |    808-339-8754
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    Fax                  |    385-614-6124
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Provider Business Mailing Address
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    Address Line         |    9522 S STORNOWAY CIR 
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    City                 |    SOUTH JORDAN
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    State                |    UT
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    Zip                  |    84009-9731
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    Country              |    US
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    Telephone            |    808-339-8754
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    Fax                  |    385-614-6124
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Authorized Official
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    Title or Position    |    PEDIATRIC DENTIST
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    Name                 |    DR. VY T TRAN 
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    Credential           |    DMD
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    Telephone            |    385-614-6123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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