RIDGE PARK DENTAL NPI 1851913057

NPI Information

RIDGE PARK DENTAL is a dental clinic center in Layton, UT. RIDGE PARK DENTAL NPI is 1851913057. The provider is registered as an organization entity type.

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 A Brough .
The authorized official title is Owner/dds and has the following contact phone number (801) 773-5285.

The enumeration date for this NPI number is 5/11/2020 and was last updated on 5/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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