| NPI | 1568845048 |
|---|---|
| Doing Business As | PRIMARY CHILDREN'S HOSPITAL DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATY WELKIE CEO/Administrator 801-662-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-04-19 |