| NPI | 1417463308 |
|---|---|
| Doing Business As | COONEY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ELISE NICOLE VAN TASSELL Office Manager 801-779-6037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 8028926) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2023-02-22 |