| NPI | 1629645239 |
|---|---|
| Doing Business As | 3RD SOUTH DENTAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA LOWTHER Office Manager 801-355-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2021-06-10 |