| NPI | 1316469703 |
|---|---|
| Doing Business As | BURG CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARCI NICOL COO 801-918-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |