Organization
SOUTH HILLS PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARTON RANDALL SLOAN DMD (PEDIATRIC DENTIST)
(385) 210-1000
Entity
Organization
Contact information
Practice address
4013 W 13400 S, RIVERTON, UT 84096-6410
(385) 210-1000
Mailing address
4013 W 13400 S, RIVERTON, UT 84096-6410
(385) 210-1000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
96759619923
UT
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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