NPI | 1699144022 |
---|---|
Doing Business As | KIDS N MORE DENTIST |
Entity Type | Organization |
Authorized Contact | JOSHUA LEE RACKHAM Dentist 801-920-8772 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: TX 27186) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |