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Organization

WILLDEN FAMILY DENTAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN H. WILLDEN DDS (OWNER/DENTIST)
(801) 446-4668
Entity
Organization

Contact information

Practice address
10654 S RIVER HEIGHTS DR STE 330, SOUTH JORDAN, UT 84095-5544
(801) 446-4668
(801) 446-6037
Mailing address
10654 S RIVER HEIGHTS DR STE 330, SOUTH JORDAN, UT 84095-5544
(801) 446-4668
(801) 446-6037

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
07/11/2024
Last updated
07/11/2024
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