NPI | 1932890472 |
---|---|
Doing Business As | RIVERTON HEIGHTS DENTAL CARE |
Entity Type | Organization |
Authorized Contact | BRIAN BORG President 1 801-781-5784 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-30 |