| NPI | 1164999363 |
|---|---|
| Doing Business As | GREENWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DRAUDT Owner 801-592-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |