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3816 W 13400 S Riverton UT 84065-6642 | |
| (385) 444-7030 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3816 W 13400 S, Riverton, Utah |
| Authorized Official Name and Position | Waltraud Hebert (PRESIDENT) |
| Authorized Official Contact | 3854447030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3816 W 13400 S Riverton UT 84065-6642 Ph: (385) 444-7030 | 3816 W 13400 S Riverton UT 84065-6642 Ph: (385) 444-7030 |
| NPI Number | 1851768063 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851768063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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