| NPI | 1629788823 |
|---|---|
| Doing Business As | SKYLINE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SCOTT B. NILSON Dentist 801-393-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |