NPI | 1508255274 |
---|---|
Doing Business As | MINTY FRESH DENTAL AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | FRANCE JOSEPH NIELSON Owner/General Dentist 801-592-9543 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30667) |
Enumeration Date | 2015-01-17 |
Last Update Date | 2015-01-17 |