| NPI | 1700315462 |
|---|---|
| Doing Business As | NELSON & TILLMANN FAMILY DENTISTRY, P.L.L.C. |
| Entity Type | Organization |
| Authorized Contact | MCLEAN BODDY Office Manager 801-281-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 7579281) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2022-07-21 |