Organization
RIVERSIDE FAMILY DENTAL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ANGER D.M.D. (DENTIST/PRESIDENT)
(385) 229-4222
Entity
Organization
Contact information
Practice address
1614 W 700 N, SALT LAKE CITY, UT 84116
(385) 229-4222
(801) 883-9276
Mailing address
1614 W 700 N, SALT LAKE CITY, UT 84116
(385) 229-4222
(801) 883-9276
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4923760
UT
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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