Organization
SILVER RIDGE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY EDWARD DEVRIES DMD (OWNER)
(801) 694-3106
Entity
Organization
Contact information
Practice address
1291 W 12600 S STE 104, RIVERTON, UT 84065-7130
(801) 254-4161
Mailing address
1291 W 12600 S STE 104, RIVERTON, UT 84065-7130
(801) 254-4161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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