NPI | 1184281206 |
---|---|
Doing Business As | KAYSVILLE PEDIATRIC DENTAL & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MICHAEL BRANDON JONES Dentist/Owner 801-544-3323 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |