NPI | 1477532471 |
---|---|
Doing Business As | OLD FARM DENTAL CARE |
Entity Type | Organization |
Authorized Contact | LISA DELAHUNT Owner/Manager 801-288-1888 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-01-10 |
Last Update Date | 2020-08-22 |