Mountain Valley Dental Gardner

NPI #1346301926 in Riverton, Utah

Provider Information

NPI Number: 1346301926
Entity Type: Organization
Organization Name: Mountain Valley Dental Gardner
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 12684 S REDWOOD RD
City: Riverton
State: Utah
ZIP Code: 84065-6695
Phone: (801) 446-8446

Authorized Official

Name: DR. JONATHAN BLAIR GARDNER, D.D.S.
Title: DENTIST
Phone: (801) 446-8446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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