| NPI | 1730581919 |
|---|---|
| Doing Business As | PARLEYS CREEK DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAUREAN TRAVAS SMITH General Dentist 801-310-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: UT 9030705-9922) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: UT 9030705-8903) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2016-10-20 |