| NPI | 1093513889 |
|---|---|
| Doing Business As | EASTLAKE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN F RICHARDS Owner 801-779-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2026-04-28 |