| NPI | 1265889166 |
|---|---|
| Doing Business As | MONARCH DENTAL - SOUTH OGDEN |
| Entity Type | Organization |
| Authorized Contact | LILIANA MARTINEZ Credentialing Director 493-089-7929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 141895-9921) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-04-08 |