| NPI | 1346699311 |
|---|---|
| Doing Business As | KAYSVILLE DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | THOMAS ERICKSEN Dentist/Owner 801-540-6377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 5796632-9922) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |