| NPI | 1255618914 |
|---|---|
| Doing Business As | VIP DENTAL |
| Entity Type | Organization |
| Authorized Contact | VERD JENE ERICKSON Dentist/Owner 435-673-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 133468) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |