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 |