Organization
RJW GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD G. WILKINS D.D.S. (REGISTERED AGENT/MEMBER)
(801) 263-2633
Entity
Organization
Contact information
Practice address
4020 S 700 E, SUITE 1, SALT LAKE CITY, UT 84107
(801) 263-2633
Mailing address
4020 S 700 E, SUITE 1, SALT LAKE CITY, UT 84107
(801) 263-2633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
140211-9922
UT
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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