Riverton Family Dental Pllc

NPI #1669004586 in Riverton, Utah

Provider Information

NPI Number: 1669004586
Entity Type: Organization
Organization Name: Riverton Family Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Feb 8, 2020
Last Updated: Feb 8, 2020

Practice Location

Address: 2464 W 12600 S
City: Riverton
State: Utah
ZIP Code: 84065-7274
Phone: (801) 446-8446

Authorized Official

Name: DR. DILLON WILLES JENSEN, DDS
Title: OWNER
Phone: (801) 824-2642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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