NPI: 1982107306
Provider Name: RIDGE PARK DENTAL
Former Legal Business Name: DR. GRANT A. BROUGH, DDS, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
2307 N HILL FIELD RD STE 101
LAYTON, UT
ZIP 84041
Phone: (801) 773-5285
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RIDGE PARK DENTAL is a general practice dentist in Layton, UT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RIDGE PARK DENTAL NPI is 1982107306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Dr. Grant A. Brough, Dds, Pc.
The provider's business location address is:
2307 N HILL FIELD RD STE 101
LAYTON, UT
ZIP 84041-890
Phone: (801) 773-5285
Fax: (801) 773-2850
The provider's authorized official is Grant Atwood Brough .
The authorized official title is Owner/operator and has the following contact phone number (801) 773-5285.
The enumeration date for this NPI number is 3/12/2018 and was last updated on 6/16/2018.