| Riverton Family Dental Pllc | |
|
2464 W 12600 S Riverton UT 84065-7274 | |
| (801) 446-8446 | |
| Not Available |
| Full Name | Riverton Family Dental Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2464 W 12600 S, Riverton, Utah |
| Authorized Official Name and Position | Dillon Willes Jensen (OWNER) |
| Authorized Official Contact | 8018242642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverton Family Dental Pllc 2464 W 12600 S Riverton UT 84065-7274 Ph: (801) 446-8446 | Riverton Family Dental Pllc 2464 W 12600 S Riverton UT 84065-7274 Ph: (801) 446-8446 |
| NPI Number | 1669004586 |
|---|---|
| Provider Enumeration Date | 02/08/2020 |
| Last Update Date | 02/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669004586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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