Organization
RIDGE VIEW DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALY HANCOCK (OFFICE MANAGER)
(801) 334-9444
Entity
Organization
Contact information
Practice address
1186 E 4600 S, 410, OGDEN, UT 84403-4332
(801) 334-9444
Mailing address
1186 E 4600 S, 410, OGDEN, UT 84403-4332
(801) 334-9444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
6267384-9922
UT
1223G0001X
General Practice Dentistry
Primary
8290111-9922
UT
1223G0001X
General Practice Dentistry
8698145-9922
UT
124Q00000X
Dental Hygienist
119249-9920
UT
124Q00000X
Dental Hygienist
9032036-9920
UT
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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