| 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 |