NPI | 1336706043 |
---|---|
Doing Business As | CORNERSTONE DENTAL |
Entity Type | Organization |
Authorized Contact | JUAN CARLOS CHAVEZ Owner 801-302-8989 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2019-05-29 |
Last Update Date | 2019-05-29 |