Individual
RILEY HUNSAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10654 S RIVER HEIGHTS DR, SOUTH JORDAN, UT 84095-5522
(801) 472-7919
Mailing address
5017 W LONDON BAY DR, RIVERTON, UT 84096-1900
(801) 472-7919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11677059-9921
UT
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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