Organization
RIVERTON SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE KAPP (OWNER)
(801) 318-4572
Entity
Organization
Contact information
Practice address
2845 W 12600 S, RIVERTON, UT 84065-7147
(801) 254-5255
Mailing address
2845 W 12600 S, RIVERTON, UT 84065-7147
(801) 254-5255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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