NPI | 1295091387 |
---|---|
Doing Business As | AMERICAN FORK MODERN DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ERIC JOHN SWENSEN Dds/Owner 801-756-5643 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-04-03 |
Last Update Date | 2013-12-31 |