| NPI | 1124515499 |
|---|---|
| Doing Business As | FOOTHILLS ENDODONTIC SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | CONRAD CHARLES JOHNSON Member 801-916-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO DEN.00203484) |
| Enumeration Date | 2018-04-21 |
| Last Update Date | 2018-04-21 |