| NPI | 1174194617 |
|---|---|
| Doing Business As | SMITH & JACKSON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | STEVENSON SMITH Owner 801-885-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |