| NPI | 1255981254 |
|---|---|
| Doing Business As | ABUNDANT DENTAL CARE AT SANDY |
| Entity Type | Organization |
| Authorized Contact | TRACIE SULLIVAN Director Of Accounts Receivable 801-849-1045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2021-06-29 |