| NPI | 1447652896 |
|---|---|
| Doing Business As | MAPLE RIDGE ENDODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRYAN CARDON President 801-504-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: UT 9074817) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |