| South Hills Pediatric Dentistry | |
|
4013 W 13400 S Riverton UT 84096-6410 | |
| (385) 210-1000 | |
| Not Available |
| Full Name | South Hills Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4013 W 13400 S, Riverton, Utah |
| Authorized Official Name and Position | Barton Randall Sloan (PEDIATRIC DENTIST) |
| Authorized Official Contact | 3852101000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hills Pediatric Dentistry 4013 W 13400 S Riverton UT 84096-6410 Ph: (385) 210-1000 | South Hills Pediatric Dentistry 4013 W 13400 S Riverton UT 84096-6410 Ph: (385) 210-1000 |
| NPI Number | 1114371804 |
|---|---|
| Provider Enumeration Date | 04/19/2016 |
| Last Update Date | 04/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114371804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 96759619923 (Utah) | Primary |
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