| I Smile At Crossroads Dental Group | |
|
3409 W 12600 S 100 Riverton UT 84065-7260 | |
| (801) 561-1559 | |
| Not Available |
| Full Name | I Smile At Crossroads Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3409 W 12600 S, Riverton, Utah |
| Authorized Official Name and Position | Lara Johnson (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8015611559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I Smile At Crossroads Dental Group 3409 W 12600 S 100 Riverton UT 84065-7260 Ph: () - | I Smile At Crossroads Dental Group 3409 W 12600 S 100 Riverton UT 84065-7260 Ph: (801) 561-1559 |
| NPI Number | 1578972592 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578972592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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