Individual
DR. LAURA FUNDORA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13686 S REDWOOD RD STE C, RIVERTON, UT 84065-5907
(801) 446-8100
Mailing address
13686 S REDWOOD RD STE C, RIVERTON, UT 84065-5907
(801) 446-8100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13489627-9921
UT
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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