| NPI | 1578928172 |
|---|---|
| Doing Business As | THE SUGAR HOUSE DENTIST |
| Entity Type | Organization |
| Authorized Contact | JARED THEURER Doctor 801-486-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: UT 9361973) |
| 305R00000X Preferred Provider Organization (Licence: UT 337770) | |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2023-04-06 |