| NPI | 1033900683 |
|---|---|
| Doing Business As | ABUNDANT DENTAL CARE OF FORT UNION |
| Entity Type | Organization |
| Authorized Contact | TRACIE SULLIVAN VP Of Finance 801-849-1045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |