NPI | 1295190742 |
---|---|
Doing Business As | BROWN DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | SHAWN BROWN Owner 435-586-3885 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 4744889-992) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2016-07-28 |