Organization
RICHFIELD KIDS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRENT PRYOR DMD (MEMBER)
(208) 329-4580
Entity
Organization
Contact information
Practice address
178 W 1500 S, SUITE 124, RICHFIELD, UT 84701-7113
(435) 896-0118
Mailing address
178 W 1500 S, SUITE 124, RICHFIELD, UT 84701-7113
(435) 896-0118
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8669834-9923
UT
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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