| NPI | 1558553776 |
|---|---|
| Other Name | AMERICAN FORK FAMILY DENTAL, INC. |
| Entity Type | Organization |
| Authorized Contact | SCOTT A. TRACY President 801-756-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 145854-9922) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2007-08-11 |