| NPI | 1104317569 |
|---|---|
| Doing Business As | BURG CHILDREN'S DENTISTRY & ORTHODONTICS - LINDON |
| Entity Type | Organization |
| Authorized Contact | MARCI NICOL COO 801-918-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |