NPI | 1518215995 |
---|---|
Doing Business As | CENTERVILLE DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | GILLIAN H. FINNERTY Dds/Owner 801-298-3230 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-08-16 |
Last Update Date | 2022-04-13 |