Organization
RIDGE LINE DENTAL L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVE WARNER CHASTON D.D.S.,M.S.D. (OWNER)
(801) 773-5460
Entity
Organization
Contact information
Practice address
2185 N 1700 W, #202, LAYTON, UT 84041
(801) 773-5460
Mailing address
2185 N 1700 W, #202, LAYTON, UT 84041
(801) 773-5460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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