NPI | 1205401973 |
---|---|
Doing Business As | CLEARFIELD DENTAL |
Entity Type | Organization |
Authorized Contact | TYLER MONTY RALLISON General Dentist 801-663-6451 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-05-25 |
Last Update Date | 2021-07-02 |