| Kids Dental Barn | |
|
12391 S 4000 W Ste 204 Riverton UT 84096-7015 | |
| (801) 676-8899 | |
| Not Available |
| Full Name | Kids Dental Barn |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12391 S 4000 W Ste 204, Riverton, Utah |
| Authorized Official Name and Position | Eric Martin (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 8016768899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Dental Barn 12391 S 4000 W Ste 204 Riverton UT 84096-7015 Ph: (801) 676-8899 | Kids Dental Barn 12391 S 4000 W Ste 204 Riverton UT 84096-7015 Ph: (801) 676-8899 |
| NPI Number | 1144519265 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144519265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49554449923 (Utah) | Primary |
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