NPI | 1821516063 |
---|---|
Doing Business As | RIVER CROSSING FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JOHN PETERSON Owner/Operator 801-254-8812 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 7020843) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2022-07-21 |