| NPI | 1336730324 |
|---|---|
| Doing Business As | LONE PEAK DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH R DIBBLE Owner/President 801-572-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |