NPI | 1205893740 |
---|---|
Doing Business As | REDWOOD ENDODONTICS |
Entity Type | Organization |
Authorized Contact | RICHARD W ELGGREN VP Treasurer 801-266-7393 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2006-04-27 |
Last Update Date | 2020-08-22 |