Organization
WILLDEN FAMILY DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HYMAS WILLDEN (DR/OWNER)
(801) 446-4668
Entity
Organization
Contact information
Practice address
3632 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-7162
(801) 446-4668
(801) 446-6037
Mailing address
3632 W SOUTH JORDAN PKWY, SUITE 202, SOUTH JORDAN, UT 84095-7162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53262349922
UT
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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