| NPI | 1649836065 |
|---|---|
| Doing Business As | DECATUR DENTAL |
| Entity Type | Organization |
| Authorized Contact | SVEN HOGE Owner/Manager 801-505-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |