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 |