NPI | 1215351739 |
---|---|
Other Name | RIVERTONFAMILYDENTISTRY |
Entity Type | Organization |
Authorized Contact | CRAIG MARTIN CHRISTENSEN Owner 801-571-5050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 1378419922) |
Enumeration Date | 2014-02-05 |
Last Update Date | 2014-02-05 |