Organization
RIVERS EDGE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY MCGARRY D.M.D. (OWNER)
(801) 978-1000
Entity
Organization
Contact information
Practice address
VILLAGE AT RIVERS EDGE 1241 VILLAGE MAIN DR, BLD 1, SUITE B, WEST VALLEY, UT 84119
(801) 978-1000
(801) 978-1001
Mailing address
VILLAGE AT RIVERS EDGE 1241 VILLAGE MAIN DR, BLD 1, SUITE B, WEST VALLEY, UT 84119
(801) 978-1000
(801) 978-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7020797-9922
UT
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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