| NPI | 1144519265 |
|---|---|
| Doing Business As | KIDS DENTAL BARN |
| Entity Type | Organization |
| Authorized Contact | ERIC MARTIN President/Pediatric Dentist 801-676-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 49554449923) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |