| NPI | 1568553931 |
|---|---|
| Doing Business As | VILLAGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN M MATTHEWS Dentist/Senior Partner 801-922-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |