| NPI | 1497320121 |
|---|---|
| Doing Business As | LIFETIME FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ROBERT GODFREY Owner 801-663-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-05-23 |