| NPI | 1700409695 |
|---|---|
| Doing Business As | OQUIRRH MOUNTAIN DENTAL |
| Entity Type | Organization |
| Authorized Contact | DANE J NELSON Owner/Partner/Dentist 801-254-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |