| NPI | 1063063105 |
|---|---|
| Doing Business As | ABUNDANT DENTAL CARE AT SANDY ORTHO |
| Entity Type | Organization |
| Authorized Contact | TRACIE SULLIVAN Accounts Receivable, Director 801-849-1045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2021-06-29 |