| NPI | 1417484163 |
|---|---|
| Doing Business As | BOUNTIFUL DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUZIE HENRY Office Manager 801-292-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: UT 4923271) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |