Apex Family & Cosmetic Dentistry

NPI #1063742492 in Riverton, Utah

Provider Information

NPI Number: 1063742492
Entity Type: Organization
Organization Name: Apex Family & Cosmetic Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 7, 2010
Last Updated: Jan 7, 2010

Practice Location

Address: 12391 S 4000 W
Address 2: SUITE 206
City: Riverton
State: Utah
ZIP Code: 84096-7012
Phone: (801) 748-0379

Authorized Official

Name: MS. TRACIE L SULLIVAN
Title: FINANCIAL MANAGER
Phone: (801) 748-0379

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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