Rivers Edge Dental Llc | |
Village At Rivers Edge 1241 Village Main Dr Bld 1, Suite B West Valley UT 84119 | |
(801) 978-1000 | |
(801) 978-1001 |
Full Name | Rivers Edge Dental Llc |
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Speciality | Dentist - General Practice |
Location | Village At Rivers Edge 1241 Village Main Dr, West Valley, Utah |
Authorized Official Name and Position | Cody Mcgarry (OWNER) |
Authorized Official Contact | 8019781000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rivers Edge Dental Llc Village At Rivers Edge 1241 Village Main Dr Bld 1, Suite B West Valley UT 84119 Ph: (801) 978-1000 | Rivers Edge Dental Llc Village At Rivers Edge 1241 Village Main Dr Bld 1, Suite B West Valley UT 84119 Ph: (801) 978-1000 |
NPI Number | 1821220104 |
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Provider Enumeration Date | 08/20/2009 |
Last Update Date | 08/20/2009 |
Identifier | Type | State | Issuer |
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1821220104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7020797-9922 (Utah) | Primary |
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