River Crossing Dental Professional Corporation

NPI #1821516063 in Riverton, Utah

Provider Information

NPI Number
1821516063
Entity Type
Organization
Organization Name
River Crossing Dental Professional Corporation
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Sep 8, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
12427 SOUTH 4000 WEST
Address 2
SUITE #200
State
Utah
ZIP Code
84095
Phone
(801) 254-8812

Authorized Official

Name
DR. JOHN PETERSON, DDS
Title
OWNER/OPERATOR
Phone
(801) 254-8812

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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