| NPI | 1649939232 |
|---|---|
| Other Name | SALT FALTS DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EMILIE BRANNELLY Office Manager 385-766-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-11 |
| Last Update Date | 2021-12-11 |