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1740968510
LAURA FUNDORA JIMENEZ
RIVERTON, UT
NPI
1740968510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 13489627-9921)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
Dr. LAURA FUNDORA JIMENEZ DMD
13686 S REDWOOD RD STE C
RIVERTON, UT 84065-5907
Phone number: 801-446-8100
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Mailing Address
Dr. LAURA FUNDORA JIMENEZ DMD
13686 S REDWOOD RD STE C
RIVERTON, UT 84065-5907
Phone number: 801-446-8100
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