| NPI | 1407112469 |
|---|---|
| Doing Business As | MIDVALE MODERN DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | ERIC JOHN SWENSEN Dds/Owner 801-566-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2013-12-31 |