NPI | 1235722331 |
---|---|
Doing Business As | DENTAL 32 |
Entity Type | Organization |
Authorized Contact | MICHAEL G NADAULD Owner 801-641-0565 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-02-19 |
Last Update Date | 2021-02-19 |