BOUNTIFUL RIDGE DENTAL, LLC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1508387564- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 415 MEDICAL DR STE A200, BOUNTIFUL, UT, 840104970
- Phone
- (801) 203-0290
- Fax
- (801) 872-4329
Specialties & Taxonomies
Dentist, General Practice
Primary License: UT #8008797