| NPI | 1124637665 |
|---|---|
| Other Name | PONY EXPRESS DENTAL OF SARATOGA SPRINGS LLC |
| Entity Type | Organization |
| Authorized Contact | JANET JENSEN Director Of Finance And Operations 801-614-7669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |