| NPI | 1568906824 |
|---|---|
| Doing Business As | COUGAR DENTAL |
| Entity Type | Organization |
| Authorized Contact | CORBIN G MATTHEWS Owner 801-473-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 372923) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |