Organization
AFFORDABLE DENTURES RIVERDALE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIANA HALL DDS (OWNER)
(801) 334-0515
Entity
Organization
Contact information
Practice address
4035 RIVERDALE RD, SUITE C, RIVERDALE, UT 84405-1517
(801) 334-0515
Mailing address
4035 C RIVERDALE RD, RIVERDALE, UT 84405
(801) 334-0515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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