NPI | 1013416742 |
---|---|
Doing Business As | PARLEYS CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | CLINTON SORENSEN Dentist/Owner 801-808-2061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 80174279922) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2018-02-08 |