| NPI | 1184170508 |
|---|---|
| Doing Business As | MASTERPIECE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRANDON GREEN Dr. M. Brandon Green Dds/ Owner 801-756-5136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: UT 6229925) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |