Organization
RIVERTON FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILLON WILLES JENSEN DDS (OWNER)
(801) 824-2642
Entity
Organization
Contact information
Practice address
2464 W 12600 S, RIVERTON, UT 84065-7274
(801) 446-8446
Mailing address
2464 W 12600 S, RIVERTON, UT 84065-7274
(801) 446-8446
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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