NPI | 1053442103 |
---|---|
Doing Business As | BRENT H. CRAVEN, DMD |
Entity Type | Organization |
Authorized Contact | BRENT H. CRAVEN President,Dentist 801-546-0931 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 1362169922) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2020-08-22 |