NPI | 1306901566 |
---|---|
Former Legal Business Name | GREGORY G. PAGE, DDS, PC |
Entity Type | Organization |
Authorized Contact | GREGORY GEORGE PAGE President 435-722-2111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 142333-9922) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2013-09-17 |