Organization
RIVER CROSSING DENTAL PROFESSIONAL CORPORATION
Active
Other names
River Crossing Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PETERSON DDS (OWNER/OPERATOR)
(801) 254-8812
Entity
Organization
Contact information
Practice address
12427 SOUTH 4000 WEST, SUITE #200, RIVERTON, UT 84095
(801) 254-8812
(801) 254-4650
Mailing address
12427 SOUTH 4000 WEST, SUITE #200, RIVERTON, UT 84095
(801) 254-8812
(801) 254-4650
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7020843
UT
Other
Enumeration date
09/08/2017
Last updated
07/21/2022
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