NPI | 1285381533 |
---|---|
Doing Business As | PRESIDENTIAL FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL MERKLEY Clinical Director 801-592-5541 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-03-07 |
Last Update Date | 2022-03-07 |