| Riverside Family Dental Care, Inc | |
|
1614 W 700 N Salt Lake City UT 84116 | |
| (385) 229-4222 | |
| (801) 883-9276 |
| Full Name | Riverside Family Dental Care, Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1614 W 700 N, Salt Lake City, Utah |
| Authorized Official Name and Position | Timothy Anger (DENTIST/PRESIDENT) |
| Authorized Official Contact | 3852294222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Family Dental Care, Inc 1614 W 700 N Salt Lake City UT 84116 Ph: (385) 229-4222 | Riverside Family Dental Care, Inc 1614 W 700 N Salt Lake City UT 84116 Ph: (385) 229-4222 |
| NPI Number | 1316300460 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316300460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4923760 (Utah) | Primary |
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