| NPI | 1316445281 |
|---|---|
| Doing Business As | OAK PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRYAN PACE Business Manager 801-455-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |