Organization
RIVERTON HEIGHTS DENTAL, CORP.
Active
Other names
Riverton Heights Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BORG DMD (PRESIDENT 1)
(801) 781-5784
Entity
Organization
Contact information
Practice address
3693 W 13400 S STE B, RIVERTON, UT 84065-6413
(801) 781-5784
(385) 483-0324
Mailing address
3693 W 13400 S STE B, RIVERTON, UT 84065-6413
(801) 781-5784
(385) 483-0324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104518687
1223G0001X
UT
01
—
1780890715
1223G0001X - DENTIST - GENERAL PRACTICE
UT
01
—
1912113945
1223G0001X - DENTIST - GENERAL PRACTICE
UT
Enumeration date
05/16/2023
Last updated
05/30/2023
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