| Mountain Valley Dental Gardner | |
|
12684 S Redwood Rd Riverton UT 84065-6695 | |
| (801) 446-8446 | |
| Not Available |
| Full Name | Mountain Valley Dental Gardner |
|---|---|
| Speciality | Dentist |
| Location | 12684 S Redwood Rd, Riverton, Utah |
| Authorized Official Name and Position | Jonathan Blair Gardner (DENTIST) |
| Authorized Official Contact | 8014468446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valley Dental Gardner 12684 S Redwood Rd Riverton UT 84065-6695 Ph: (801) 446-8446 | Mountain Valley Dental Gardner 12684 S Redwood Rd Riverton UT 84065-6695 Ph: (801) 446-8446 |
| NPI Number | 1346301926 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346301926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 96-326378-9922 (Utah) | Primary |
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