| NPI | 1184347841 |
|---|---|
| Former Legal Business Name | FAIRFIELD DENTAL CARE P.C. |
| Entity Type | Organization |
| Authorized Contact | ALICIA LARSEN Revenue Cycle Management 801-305-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-02-28 |