| NPI | 1255769147 |
|---|---|
| Doing Business As | COUGAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | TODD C GROESBECK Owner 801-373-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 8291219) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2022-07-21 |