| NPI | 1386203230 |
|---|---|
| Doing Business As | PREMIER DENTAL OF MARYSVILLE |
| Entity Type | Organization |
| Authorized Contact | HUNG KHANH TRUONG Owner/President 801-703-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |