| NPI | 1114781689 |
|---|---|
| Doing Business As | RIVERWOOD ORAL & MAXILLOFACIAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MAURICE GUSTAF JENKINS Owner 801-437-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2024-02-06 |