NPI | 1508521394 |
---|---|
Doing Business As | BELLINGHAM BAY DENTAL |
Entity Type | Organization |
Authorized Contact | GRANT MCCLENDON Owner/CEO 801-885-3207 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-11-05 |
Last Update Date | 2021-11-05 |