NPI | 1669909511 |
---|---|
Doing Business As | SNOW COUNTRY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JACOB WARNER Credentialing Manager 801-691-1701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 352590747) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2021-07-02 |