Organization
YOUNG FAMILY DENTAL TETON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN JOHN (ADMINISTRATOR)
(801) 592-3882
Entity
Organization
Contact information
Practice address
6089 W. 11800 S., HERRIMAN, UT 84096
(801) 899-6950
(801) 899-6955
Mailing address
6089 W. 11800 S., HERRIMAN, UT 84096
(801) 899-6950
(801) 899-6955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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