| NPI | 1346760097 |
|---|---|
| Doing Business As | RIVERTON DENTAL CARE |
| Doing Business As | ABUNDANT DENTAL CARE OF RIVERTON |
| Entity Type | Organization |
| Authorized Contact | TRACIE SULLIVAN Director Of Accounts Receivable 801-849-1045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-04-22 |