NPI | 1194322776 |
---|---|
Doing Business As | CHASE INSPIRED DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHASE MICHAEL LARSEN Managing Member 801-859-5680 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-10-06 |
Last Update Date | 2022-06-07 |