NPI | 1467842583 |
---|---|
Doing Business As | TIMBERRIDGE DENTAL |
Entity Type | Organization |
Authorized Contact | TYLER DEAN MAY Dentist 435-654-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: UT 8577015-9922) |
Enumeration Date | 2015-01-27 |
Last Update Date | 2015-01-27 |