NPI | 1386207835 |
---|---|
Doing Business As | MCKAY DEE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phy Executive 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-19 |
Last Update Date | 2021-01-07 |