| NPI | 1205233855 |
|---|---|
| Doing Business As | MONARCH DENTAL - BOUNTIFUL |
| Entity Type | Organization |
| Authorized Contact | LILIANA MARTINEZ Credentialing Director 493-089-7929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2024-04-08 |