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 |