| NPI | 1396897906 |
|---|---|
| Other Name | ALTA RIDGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN J WOODWARD Owner 801-553-3562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 47420579922) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-06-16 |