| NPI | 1427452614 |
|---|---|
| Doing Business As | GENESIS DENTAL AT THE DISTRICT |
| Entity Type | Organization |
| Authorized Contact | JASON DAVID CASTO Member/Owner 801-870-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2024-03-26 |