| NPI | 1003949827 |
|---|---|
| Doing Business As | DIXIE DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRANDON D. HENDERSON Dentist D.D.S. 435-688-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 6649422-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 983604379922) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-10-08 |